Presidential Citizens Medal

The Presidential Citizens Medal is an award given by the President of the United States. It is the second-highest civilian award in the United States, behind the Presidential Medal of Freedom. It was created by executive order on November 13, 1969, by President Richard Nixon, it honors an individual "who has performed exemplary deeds or services for his or her country or fellow citizens." 
Only United States citizens are eligible for the medal, which may be awarded posthumously.
Teachers Rachel Davino, Anne Marie Murphy, Lauren Rousseau, and Victoria Soto and school administrators Mary Sherlach and Dawn Hochsprung, who died in the Sandy Hook Elementary School shooting defending their students, were jointly awarded the 2012 Citizens Medal posthumously.