Bronze Order of Mercury Application

POC/Nominator (Your) Rank:

POC/Nominator (Your) Name: *

First

Last

POC/Nominator Email *

POC/Nominator Phone No:

SCRA Chapter:

Award Presentation Event:

Examples: Signal Ball, Retirement Ceremony, etc.

Awardee Rank: *

Awardee Name: *

First

Last

Suffix:

Awardee SCRA Member ID: *

Membership in the SCRA is required to receive this award.

Has awardee been a member for 6 months prior to presentation date?

Yes
No

Requirement effective 01 September 2022. If nominee does not meet this requirement, the application will be sent to the board for review.

Significant Contributions to the SCRA *

How has this nominee contributed to the SCRA as a new member?

Name for Certificate: *

Please write rank & name EXACTLY as it is to appear on the Award Medal & Certificate.
PLEASE NOTE: FULL COST OF AWARD WILL BE CHARGED FOR REPLACEMENTS AS A RESULT OF MISSPELLED NAME OR INCORRECT RANK. ($25 OFF IF MEDAL IS RETURNED)

Award Presentation Date: *

This date will be PRINTED on the certificate.
A $25 Fee will be applied to awards when payment is made within 30 days of presentation date.

Approval Method: *

I Have Prior Authority Approval
I Need National Board Approval

This award can be approved by a COL/O6 or above of the Regiment who is also a member of the SCRA.
The National SCRA has the authority to review ALL submitted awards for eligibility prior to processing.

Approver Rank:

Effective 01 Sept 2022, LTC in Command may no longer approve the BOM.

Approver Name:

Approver Email: *

An email will be sent to the approving authority for verification.

Memorandum/Justification Letter (PDF preferred) *

Click or drag a file to this area to upload.

Please ensure that contributions to the Signal Regiment AND the SCRA are included in the write-up.
Please see our sample memo on the BOM Award page for examples.

Additional Nomination Documentation (Optional)

Click or drag a file to this area to upload.

Delivery Option: *

Pick Up (Ft. Gordon/Augusta Area)
Ship Award

Shipping address will be required when payment is made.

Anticipated Delivery Date//

We cannot guarantee shipping delivery dates.

Preferred Contact Method: *

Call
Text
Email

You will be contacted via the chosen method when your award is ready for pickup.