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EKU
Eastern Kentucky University
Student Success
Fallen Soldier Nomination Form
Name of Person Nominating
Phone Number
Email
First and Last Name of Nominee
Branch of Service
Branch of Service
Army
Navy
Air Force
Marine Corps
Coast Guard
Space Force
Was death of nominee service-connected or did nominee have P.O.W. status at any time?
Was death of nominee service-connected or did nominee have P.O.W. status at any time?
Yes
No
What was Nominee's Connection to EKU?
What was Nominee's Connection to EKU?
Student
Alumni
Family of Alumni
Staff or Faculty member
Family of Staff or Faculty
Madison County Resident/Local Community Supporter
Other
If Other, Please Explain.
Please add a brief explanation of nominee's service (ex. Unit, Years of Service, Job title/Rank):
Would you like to participate in the recognition program planned for May 25, 2026 (Memorial Day)?
Would you like to participate in the recognition program planned for May 25, 2026 (Memorial Day)?
Yes
No
Submit
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Eastern Kentucky University
521 Lancaster Ave.
Whitlock Building
Richmond, KY 40475
Phone: 859-622-1000
eku.edu
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