The "Exceptional Service Award" is presented to Civil Air Patrol members who provide "exceptionally outstanding service to CAP...while serving in any capacity with CAP." The award regulations do make clear that the duty should carry the responsibility for completion of a major project at the region level or wing level. Any CAP member may nominate another cadet or officer for the exceptional service award, but the duty must involve the fulfillment of a duty that greatly benefits the region or wing. All nominations must be approved by the region commander This award does not come with a full-sized medal. It consists of a ribbon and a certificate that accompanies the decoration. A miniature medal is available for senior members to wear on their mess dress uniforms.