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Medal Day 2026
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Member Information
Name
(Required)
First Name
Middle Name
Last Name
Suffix
Rank
(Required)
Proby
Firefighter
EMT
Paramedic
Fire Alarm Dispatcher
Lieutenant
Captain
Chief
Battalion Chief
Deputy Chief
Fire Marshal
Supervising Fire Marshal
Appointed Date
(Required)
Month
Day
Year
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
(Required)
Phone
(Required)
Currently assigned station/unit:
(Required)
List any station/unit you were previously assigned to:
(Required)
What station were you at the time the incident took place?
(Required)
Background Information
Highest Level of Education
(Required)
High School
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate Degree
Major:
(Required)
University:
(Required)
Any other schooling or technical degrees?
Have you ever been a recipient of any other FDNY awards? Specify award type and year.
Example: Class I, Class II, Class III, Class A, Class B, Unit Citation, Hospital Pre-Save, Unit of the Month, Awards/ Medals (example: Hugh Bonner Medal).
Military Background
Organizations & Teams
Are you a member of any affiliated organizations?
Civilian Organized Network Nurturing Excellence Community and Trust (CONNECT)
FDNY African Heritage Society
FDNY American Legion Post 930
FDNY Caribbean Society
FDNY Columbia Association
FDNY Emerald Society
Firefighters for Christ FDNY
Fireflag
FDNY Hellenic Society
FDNY Hispanic Society
FDNY Holy Name Society
FDNY Islamic Society
Ner Tamid
FDNY Phoenix Society
Pulaski Association
S/Sgt. Christian Engeldrum FDNY VFW Post #12033
FDNY Steuben Association
FDNY St. George Association
United Women Firefighters (UWF)
FDNY Vikings
Vulcan Society
Women’s Benevolent Association (WBA)
Use Control or Command on the keyboard to select more than one if needed.
Are you a member of any other organizations not listed?
(Required)
Yes
No
Other Organization:
(Required)
Are you a member of any FDNY teams?
Football
Hockey
Volleyball
Baseball
Crossfit
Grappling/Wrestling
Running
Boxing
Cycling
Rowing–Dragon Boat
Rugby
Multi-Sport–Triathlon
Softball
Barbell
Use Control or Command on the keyboard to select more than one if needed.
Are you a member of any other teams not listed?
(Required)
Yes
No
Other Teams:
(Required)
Family
Name of Spouse/Partner
First Name
Last Name
Preference to be referred as your (choose from drop down choices):
N/A
Husband
Wife
Spouse
Partner
Fiancée
Other
Name of Children
First Name
Last Name
Add
Remove
Use + to add additional names
Name of Grandchildren
First Name
Last Name
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Remove
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Any family member currently on or retired from the Department?
(Required)
Yes
No
List active or retired family member:
(Required)
Name
Rank
Company
Last Company (if retired)
Relationship to You
Active or Retired
Retirement Year or Year of Retirement (if applicable)
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Remove
Use + to add additional names
Upload Images
Please share pictures from incident, group shots with your company/unit (you can even take one now!). Pictures from the original camera/phone are best. Do not use pictures pulled from the internet without including the source of the photo. If you know who shot the photo, please include that so they can be credited. See previous Medal Day Book for reference
here
. Contact:
Kristin.Eng@fdny.nyc.gov
with questions.
Drop files here or
Select files
Accepted file types: jpg, png, pdf, Max. file size: 5 MB.
Upload Audio or Video
To help the Medal Day event team pronounce your name correctly, please record a voice memo or video (on your phone) stating your rank and full name, including any suffixes or middle initials if you prefer. Please say it twice and upload the file here, OR name the file using your name and email it to: Kristin.eng@fdny.nyc.gov.
i.e. Lt. John W. Smith Jr. , Lt. John W. Smith Jr.
Accepted file types: mp3, m4a, wav, mp4, mov, Max. file size: 25 MB.
Image Description: Please provide rank, full name (first and last), and assigned unit for each member left to right. If the image is from a fire or emergency, please provide Box #, address, and date.
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