2. Nominate a Hometown Hero!

   The Cheverly Hometown Heroes program recognizes residents and family members who have served in the U.S. Armed Forces through commemorative banners displayed in our community. To learn more about the program and banner details, visit the Hometown Heroes Program page.

   NOTE: Banner applications must be submitted by June 4, 2026 to be hung by July 4, 2026. Forms submitted after June 4, 2026 will be hung in January 2027.

4. Veteran Information

   Please provide information about the Veteran or Active-Duty member the applicant would like to nominate for the Banner Program.

6. Full Name*
8. Date of Birth*
   Date of Birth
10. Branch of Service*

    1. Army
    2. Navy
    3. Air Force
    4. Marine Corps
    5. Coast Guard
    6. Space Force
11. Service Status*

    1. Active Duty
    2. Veteran
    3. Retired
    4. Deceased
    5. KIA
    6. POW
13. Service Number or last 4 digits of SSN
15. Rank at Discharge
16. Type of Discharge
18. Applicant Information

    Please provide contact information for the applicant.

20. Full Name*
21. Relationship to Veteran*
23. Phone Number*
24. Email Address*
26. Home Address*
28. Supporting Documentation
30. Select the Supporting Documentation that will be Provided*

    1. DD-214 or other discharge papers
    2. Military ID
    3. VA ID or Benefit Documentation
    4. Obituary or Death Certificate mentioning military service (if deceased)
    5. Other official military record
31. Attach Supporting Documentation Here
32. Additional Notes:
34. Attach a Portrait of Veteran here:

    REQUIREMENTS: Front-facing portrait, service uniform (example: bootcamp picture)

    If you do not have a digital copy, please bring the image to Cheverly Town Hall during business hours. Town Staff will make a copy in order to maintain image quality as much as possible. 

    Please note: your submission will not be processed without an image

36. Acknowledgement
38. By typing my name below, I certify that the information provided is true and correct to the best of my knowledge. I understand this information is used solely for verification by the Hometown Heroes Committee. *
40. By typing my name below, I acknowledge that banners are only hung in January and July of each year. I understand that my submission will be reviewed and approved by the Hometown Heroes Committee and then submitted to the Mayor and Council for official nomination before the banner is hung.*
42. By typing my name below, I acknowledge that I cannot choose the location of my purchased banner. I understand that banner placement is determined by the Hometown Heroes Committee and follows a deliberate order designed to ensure consistency.*
44. By typing my name below, I understand that I am responsible for the full, non-refundable $250 payment. I understand that I will be taken to the payment page after pressing "Submit."*
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field