The Presidential Citizens Medal is an award bestowed by the president of the United States. It is the second-highest civilian award in the United States and is second only to the Presidential Medal of Freedom. Wikipedia
Awarded for: "Exemplary deeds or services, for his or her country or fellow citizens."
First awarded: 1973
Next (higher): Presidential Medal of Freedom
Next (lower): Public Safety Officer Medal of Valor
Presented by: President of the United States