Namesake Nomination Form

Thank you for your help in identifying Warriors we can honor through the naming of Warrior Canine Connection's future Service Dogs in Training. Each of our dogs is destined for a lifetime of service in support of recovering Veterans and their family members.

Beginning in 2013 with the naming of service dog in training "Lundy" for Navy Corpsman HM3 (FMF) Brian K. Lundy, Jr., who was killed in action in Afghanistan on September 9, 2011, WCC has been honoring fallen and inspiring Service Members and Veterans by giving their names to Golden and Labrador Retriever puppies entering our program.

Through this tradition, we have recognized Veterans who have served from World War II to recent conflicts. Some lost their lives in battle, others were wounded in action, but all have made profound contributions to our country.

As Service Dogs in Training, each dog will bring awareness to the inspiring service of their namesake while helping to heal the invisible wounds of recovering Warriors. When the dogs are placed, special bonds will also be created between the Veteran service dog recipients and the Warriors their canine partners were named to honor.

As part of our nomination process, we ask that those suggesting a name provide information about the Service Member or Veteran they wish to honor, along with a photograph. If the name is selected for a WCC puppy, this information will be shared at the time of the announcement.

It is critical that permission be granted by the nominee or by family members of anyone nominated for this honor.

Nominator Information

Date of Submission

First Name

Last Name

Phone

E-Mail

Relationship to Nominee

Have you received permission from nominee or nominee's family?

Veteran or Service Member You Wish to Nominate

First Name

Middle Name

Last Name

Please enter your top three name suggestions for the dog:

Gender

Rank

Branch of Service

Military Retired

YesNo

Deceased

YesNo

If deceased, and killed in action, please provide:

Date

Location

Circumstances

Nominee's Service History

Where did nominee grow up or live before they joined the military?

Why did the nominee decide to serve?

Years of Service

Summary of Military Service

What made this Veteran or Service Member an inspiration to others?

What should be highlighted about this Service Member or Veteran in a summary of their service to our Nation?

Permission Verification

Please provide the name and contact information for the nominee or a family member who can be contacted to confirm permission to name a Warrior Canine Connection Service Dog in Training after the nominated Service Member or Veteran:

First Name

Last Name

Phone

E-Mail

Street Address

City, State

Zip Code

Veteran or Service Member Photo(s)

Please attach a photo or photos of the nominee in uniform that are approved for use by Warrior Canine Connection:

Photo 1

Photo 2 (If Available)

Photo 3 (If Available)

Contact Information