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Hometown Heroes Application

  1. Hometown Heroes newsfeed(1)

  2. I approve and authorize the use of my image or my family member's image and name on a Hometown Heroes banner to be displayed in Summit, New Jersey. I confirm that I, or my family member, meet eligibility requirements.

  3. (Example= John D. Smith or Capt. John D. Smith)

  4. (Army, Navy, Air Force, Marines, Coast Guard, Merchant Marine, Women Airforce Service Pilots)

  5. (Example: 1940-1944 or World War II. A war or conflict should be listed only if the individual served in a combat zone. If the individual is currently on active duty, it is sufficient to list "active duty" on the form.)

  6. Please check one*

  7. PLEASE SUBMIT ALONG WITH THE FORM:

  8. 1) A high resolution photograph of the honored individual in military uniform.

  9. 2) A copy of the individual's "DD Form 214" (certificate of Release of Discharge from Active Duty) or other appropriate documentation of individual's service.

  10. Email the form to: summitnjheroes@gmail.com

    The Summit Free Public Library can assist applicants with making a submission by email.

  11. OR

  12. By USPS Mail:

    Summit Hometown Heroes P.O. Box 892 Summit, NJ 07902 *Please include a self- addressed, stamped envelope if you would like the photograph to be returned.

  13. If you have any questions, please contact us by email at summitnjheroes@gmail.com.

  14. THANK YOU FOR YOUR SERVICE!

  15. Leave This Blank:

  16. This field is not part of the form submission.