This unique take on the 4-Way medal makes for a meaningful and memorable gift for any religious sacramental occasion such as Confirmation or First Communion. The large sterling silver 4-Way medal comes on a 24 inch rhodium-plated stainless steel chain, which is perfect for most men and boys over the age of 10. The 1 inch 4-Way medal has red enamel in the middle which highlights the silver dove (symbolizing the Holy Spirit) in the middle making this particular inspirational necklace an especially appropriate gift for a Confirmation. The standard elements of a 4-Way cross, which can be seen on the front of the medal, are the images of the Sacred Heart of Jesus (front of a Scapular medal), front of a Miraculous Medal, St. Joseph, and St. Christopher. The back of the medal features Our Lady of Mount Carmel (backside of a Scapular medal), and the 'M' surrounded with the stars of the universe (backside of the Miraculous medal). This richly meaningful 4-Way necklace can be put in an elegant hinged jewelry box. Catalog number 36242.