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The
Starfleet Shield is the highest medal awarded by
the United Federation of Planets. The Starfleet
Shield is awarded by the CINCFLT to a person who
distinguishes himself or herself conspicuously by
gallantry and intrepidity at the risk of his life
or her life above and beyond the call of duty while
engaged in an action against an enemy of the United
Federation of Planets. The deed performed must have
been one of personal bravery or self-sacrifice so
conspicuous as to clearly distinguish the individual
above his comrades and must have involved risk of
life. 
It
is awarded to officers and enlisted personnel of
Star Fleet and the Marine Corps who distinguish
themselves by extraordinary heroism, not justifying
the award of the Starfleet Shield, in military operations
against and armed enemy.
The
Medal of Distinction is awarded to any person of the
armed forces of the United Federation of Planets or
of a friendly foreign nation who, while serving in
any capacity with the Star Fleet, distinguished himself
or herself by heroism not involving actual conflict
with an enemy. The same degree of heroism is required
as for the award of the Cross of Alexander. The performance
must have involved personal hazard or danger and the
voluntary risk of life under conditions not involving
conflict with an armed enemy. Awards will not be made
solely on the basis of having saved a life.
Given
for outstanding achievement in one mission or a group
of missions where the officer proves to be of such
worth, as to make or break the circumstances. Comes
in the form of a star shaped pips11 that is warn on
the opposite side of rank insignia on the regular
duty uniform. There is a regular medal for the dress
uniform.
The Cross of Alexander is awarded to any person
who, while serving in any capacity with the armed
forces of the United Federation of Planets, distinguished
himself or herself by extraordinary achievement
in strategy and tactics. The performance must be
evidenced by voluntary action above and beyond the
call of duty. The extraordinary achievement must
have resulted in an accomplishment so exceptional
and outstanding as to clearly set the individual
apart from his or her comrades or from other persons
in similar circumstances. Awards will be made only
to recognize single acts of heroism or extraordinary
achievement and will not be made in recognition
of sustained operational activities against an armed
enemy.
The
Star of Hope, also known as the Hero of the Federation
Award, is awarded for combat action only, and is
awarded to any person killed in action while serving
the armed forces of the United Federation of Planets.
It is only awarded posthumously. 
This
ribbon is awarded to members of the armed forces
of the United Federation of Planets for combat action
service. The principal requirement is that the personnel
must have been in a ground or space combat fire-fight,
or action during which they were under enemy fire,
and that their performance under fire must have
been satisfactory.
The
POW medal is issued only to any person who was taken
prisoner or held captive while engaged in action
against an enemy of the United Federation of Planets,
or while serving with friendly forces engaged in
armed conflict. The recipient's conduct, while in
captivity, must have been honorable. 
Known
by various names including Wounded Lion and Purple
Heart, it is awarded for combat action only, and
is awarded to any person wounded in action while
serving the armed forces of the United Federation
of Planets. It is not awarded posthumously. It can
be given with clusters if wounded at different times. 
The
Roddenbury Ribbon is awarded for significant new discoveries
or efforts which substantially advance the areas of
science, engineering, medicine, and diplomacy.
This
medal is awarded to any person who rescues, or endeavors
to rescue, any other person from harm. The rescue
must have been at the risk of the rescuer's own life,
with evidence of extreme and heroic daring.
These
medals are awarded for significant contributions to
the fields of of engineering, science, medicine, exploration,
or diplomacy - worthy or recognition but not deserving
of the Roddenbury Ribbon. They are Yellow, Blue, Red,
Black and Purple, respectively.
The
Star Fleet Achievement medal is awarded to any junior
officer or enlisted member of the armed forces of
the United Federation of Planets, or to any member
of the armed forces of a friendly foreign nation,
who while serving in any capacity with the Star Fleet
distinguishes himself or herself by outstanding professional
achievement or for leadership.
A
small medal given by a Squadron Commander for acts
that they deem worthy or notable.
A
small medal given by the CO of any vessel for any
act that they deem worthy or notable.