The Medal of Freedom is the highest civilian award in the United States. It is awarded by the president to people who have made especially meritorious contributions to (1) the security or national interests of the United States, or (2) world peace, or (3) cultural or other significant public or private endeavors.
Recipients of the medal receive a gold medal, and are also given the opportunity to have their names added to the presidential Medal of Freedom roll. They also receive a citation signed by the president.