Service Award (Joubert-Miller Medal) Nominations

Named after Father James H. Joubert, S.S. and Monsignor Edward Miller, this medal recognizes an individual who has stood in solidarity with underserved and underrepresented communities of faith. *If the form is incomplete, your nomination might not be able to be considered.*

Name of Nominee(Required)

Nominee's parish or Catholic school(Required)

Nominee's phone or email(Required)

Nominee's profession and any career highlights, including retirement or military service, if applicable.(Required)

Reference person(Required)

Reference person's phone or email(Required)

Optional: Letter of support from parish priest, Catholic school administrator or Canonical supervisor

Max. file size: 64 MB.

Reason for making this nomination(Required)

Any relevant volunteer service

Submit a photo of the nominee (if possible but not required)

Max. file size: 64 MB.

Optional: Any additional documents (news articles, published papers, etc.) that speak to the nominee's unique qualifications.

Drop files here or

Max. file size: 64 MB.

Is this individual a layperson or religious who has stood in solidarity with underserved and underrepresented communities of faith?

Layperson

Religious

How does this individual strive to safeguard life and dignity of the human person?(Required)

How does this individual build relationships within our one human family toward the pursuit of justice and peace?(Required)

How does this individual nurture solidarity between people living in poverty and their neighbors?(Required)

How does this individual appreciate global, racial, ethnic, economic, and ideological differences and encourages representation?(Required)

Name of nominator(Required)

Nominator's phone or email(Required)

Relationship to nominee(Required)