Two teenage sisters from south Cumbria will both receive the British Empire Medal (BEM) for services to charity.
Alice Pyne, 16, and her sister, Milly, are among the first people in 20 years to receive the BEM after it was scrapped in 1993, and Milly is the youngest person to receive it, aged 13.
They have raised more than £100,000 for charity and have been recognised in the Queen's Birthday Honours list.
Diagnosed with leukaemia aged 13, Alice came to prominence when she posted a online bucket list of things she wanted to achieve before she died.
The list attracted international media attention.
The BEM has been reintroduced to coincide with the Queen's Diamond Jubilee to honour volunteers who make a real difference to their communities.
"It is just such a huge honour and I am so privileged. "I can't believe that I have been honoured by the Queen and that me and my sister are doing it together."
Honours lists are published twice a year at New Year and in mid-June on the date of The Queen's official birthday.