Depends on the unit. This year, I received the coin of 1/221 Cav, for the stuff I did for them, out at NTC. They recommended me to the Cdr/CSM, and it was given at an informal formation. I was the talk of my unit; the only guy to get it.
Other units, it's a departure presentation for the whole tour. In 1989, I got mine from Special Security Group, as a departing XO. So both the enlisted and commissioned sides can be awarded.
And I think GWB more than qualified, don't y'all?
Hell Yes! And as a former fighter jock I'm sure he understood the meaning.
Does make you wonder if the President has "Commanders coins" to pass out.
Can you imagine the pride in getting one of them?