LOUDOUN CHAMBER
2027 VALOR AWARDS NOMINATION FORM 
Deadline: January 6, 2027

The awards will be made for acts that occurred between January 1, 2026 and December 31, 2026.

Nominee Information

Who you are nominating: 

Nominator Information

Person currently filling out this form:

ext
Example: 402-555-1212

Narrative Description of Act:

In order for the Selection Committee to determine significance of the nomination, please take sufficient time to create a very detailed description of the incident.  Remember, the committee may be seeing this information for the first time and your description will be an important part of the selection process.  The narrative should include, but not be limited to the following information:

  • Summary paragraph of the specific act (what the person(s) did to deserve recognition)
  • Date of the act (must fall between January 1, 2026 and December 31, 2026)
  • Time of day of the act
  • Location of the act (street address)
  • Other participants in the act (name, rank, unit, etc.)
  • Persons given aid (age, sex, address, type of aid, hospitalization, diagnosis, outcome)
  • Injuries to nominee(s) (treatment, hospitalization, diagnosis)
  • Equipment used at scene
  • Equipment used by nominee(s)
  • What specific dangers existed
  • List specifically what the nominee did
  • Describe the area/scene (entry, path of rescue, hazards, point of rescue, weather, etc.)
  • Other recognition received by nominee
(none)

The nominator understands that the Valor Awards Committee reserves the right to determine whether recognition will be presented and that he/she may be contacted if further information is needed.  Questions regarding the Valor Awards should be directed to: 

 

Paige Romanow, Director of Events
Loudoun County Chamber of Commerce
Address: 19301 Winmeade Dr, Ste 210, Lansdowne, VA 20176
Direct# 571-209-9025 / 703.777-1392 Fax
promanow@loudounchamber.org