The Aerial Achievement Medal is a relatively new addition to the pantheon of military decorations. It was created in 1988 and is awarded in the name of the Secretary of the Air Force. These military medals are designed to recognize sustained meritorious achievement of aircrew members whose actions in flight might not qualify for the Air Medal. These military ribbons and medals are recommended by local commanders, but must be approved by a major Air Force Command.
The Aerial Achievement Medal is awarded to aircrew members for meritorious service over the course of 20 separate flights of at least 2 hours duration. These military decorations rank just below the Air Medal and just above the Commendation Medals in the order of precedence for military medals. Subsequent awards are made with Oak Leaf Clusters.
The Aerial Achievement Medal can be worn as full size military medals and mini medals, military ribbons and lapel pins. These Air Force awards are available as traditional slide-on full size military medals or mini-medals, traditional slide-on military ribbons, and the new thin mini-medals or military ribbons.

The Aerial Achievement Medal was created in 1988 and awarded in the name of the Secretary of the Air Force. These military awards are designed to recognize sustained meritorious achievement of aircrew members whose actions in flight might not qualify for the Air Medal. These Air Force medals are recommended by local commanders, but must be approved by a major Air Force Command.
The Aerial Achievement Medal is awarded to aircrew members for meritorious service over the course of 20 separate flights of at least 2 hours duration. These military decorations rank just below the Air Medal and just above the Commendation Medals in the order of precedence for military medals. Subsequent awards are made with Oak Leaf Clusters.
The Aerial Achievement Medal may be approved by local commanders, however the missions for which the decoration is authorized must be approved by a Major Air Force Command.
The Aerial Achievement Medal is generally available as Air Force medals and ribbons and can, be worn as full size military medals and mini medals, military ribbons and lapel pins. Like most military medals, it is available as traditional slide-on full size military medals or mini-medals, traditional slide-on military ribbons, and thin military medals and mini-medals or military ribbons.