*Nominations require a minimum of 30 days for processing.
First Name: is required
Last Name: is required
Date of Birth: is required
Date of Birth: is invalid
Invalid input
Ex: MM/DD/YYYY (must be 18 years of age or older)
PLEASE NOTE: Due to mailing costs, we can only send Kentucky Colonel certificates to addresses within the United States. If a nominee is located outside the United States, we will send the certificate to the nominator. If both the nominee and the nominator are located outside the United States, please provide an alternate address within the United States for mailing. The block for entering an alternate address can be found near the bottom of the application form.
* Phone Number: is invalid
Ex: 555-555-5555 (Must be in this format)
Email Address: is required
Email Address: is invalid
Ex: example@kentucky.gov
Profession: is required
Please list any active or previous service in a charitable organization or community service and/or any military service: is required
Reason for Recommendation: is required
Recommended By:
* Zip Code: is invalid
If issued, the commission will be mailed to (please check one): is required
If both the nominee and the nominator are located outside the United States, please provide an alternate address within the United States for mailing.
Is the commission for a presentation ceremony, or a gift? is required
* Date of presentation: is invalid
Ex: MM/DD/YYYY
* is required
NOTE: The Honorable Order of Kentucky Colonels is an independent, nonprofit organization. For more information, call 502-266-6114 or visit https://www.kycolonels.org.
Please print this page before submitting the form if you would like a copy of your request.
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