Kentucky Colonel Commission

Kentucky Colonel Commission Application

Nominee Information

*Nominations require a minimum of 30 days for processing.

* First Name:

Middle Name or Initial:

* Last Name:

Suffix:

* Date of Birth:

Ex: 01/01/1970 (must be 18 years of age or older)

International Address:

Yes

* Address Line 1:

Address Line 2:

* City:

* State:

* International Address:

* Zip Code:

* Phone Number:

Ex: 555-555-5555

* Tel:

* Email Address:

Ex: example@kentucky.gov

* Profession:

* Please list any active or previous service in a charitable organization or community service and/or any military service:

* Reason for Recommendation:

Recommended By:

* First Name:

Middle Name or Initial:

* Last Name:

International Address:

Yes

* Address Line 1:

Address Line 2:

* City:

* State:

* International Address:

* Zip Code:

* Phone Number:

Ex: 555-555-5555

* Tel:

* Email Address:

Ex: example@kentucky.gov

* Profession:

* If issued, the commission will be mailed to (please check one):

Recommender

Recipient

* Is the commission for a presentation ceremony, or a gift?

* Date of presentation:

Ex. 01/01/1970

Security

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.