Council Level Recognition Nomination Form

This form is to be used to nominate an adult for a council level adult recognition awards.

Nominee Information

Submitter Information

This is applicable if you are a member of a Service Unit.

Award Level

Select Numeral Guard for: 30 years+ as a registered Girl Scout - girl/adult
Select Years of Service for: 25 years+ as a registered Adult volunteer

Select Numeral Guard and/or Years of Service
Select the number of girl and adult years rounded down to an increment of 5 years. (For 5 - 25 years use Service Unit form)
Select the number of active adult only years rounded down to an increment of 5 years. (For 5 - 20 years use Service Unit form)
Select the type of award this nomination applies to. Only one award per nomination.
* The Appreciation Pin requires service beyond the troop level, therefore this application will be denied. Please select another award level.
* The Honor Pin requires service be provided to two or more service units, therefore this application will be denied. Please select another award level.
* The Platinum Service Award requires service be provided to their Service Unit or a region or the entire council for at least three years since receiving the Appreciation Pin and either Honor Pin or Thanks Badge, therefore this application will be denied. Please select another award level.
* The Thanks Badge requires service be provided in a leadership role at the council level in one or more areas during the previous four years, therefore this application will be denied. Please select another award level.
* The Thanks Badge II requires candidate has been awarded the Thanks Badge, therefore this application will be denied. Please select another award level.

Nomination

Should this award be approved it will be presented at the Annual Meeting and Volunteer Recognition. Recipients may be given their supporting nominations and application. The recipient will receive an invitation to attend the ceremony. The submitter will be notified of the committee's decision.

Please describe how the nominee has rendered service and benefited at least one Service Unit or program delivery audience (i.e. product sales, membership etc...). Be detailed and specific as possible listing qualification and particular instances. Please be sure your answers support the above stated criteria to qualify for this award. You will be need to provide the name and email information of two persons to support this nomination.

Please describe how the nominee has rendered service and benefited at least two or more Service Units or a Region. Be detailed and specific as possible listing qualification and particular instances. Please be sure your answers support the above stated criteria to qualify for this award. You will be need to include the name and email of three additional people supporting the nominee's service.

Please describe how the nominee has rendered service and benefited a Service Unit, a Region or the entrie Council for three years after receiving the Appreciation Pin and either the Honor Pin or Thanks Badge.

Please describe how the nominee has rendered service and benefited the entire Council or entire Girl Scout Movement. Be detailed and specific as possible listing qualification and particular instances. Please be sure your answers support the above stated criteria to qualify for this award. You will be need provide the names and emails of four additional people supporting the nominee's service.

Please describe how the nominee has rendered service and benefited the entire Council or entire Girl Scout Movement. Be detailed and specific as possible listing qualification and particular instances. Please be sure your answers support the above stated criteria to qualify for this award. You will be need to provide the names and emails of four additional people supporting the nominee's service.
Enter the year the Honor Pin and/or Thanks Badge were awarded.
Please enter the name of a person who is willing to support this nomination.
Please enter the email address of the person who is willing to support this nomination.
Please enter the name of a person who is willing to support this nomination.
Please enter the email address of the person who is willing to support this nomination.
Please enter the name of a person who is willing to support this nomination.
Please enter the email address of the person who is willing to support this nomination.
Please enter the name of a person who is willing to support this nomination.
Please enter the email address of the person who is willing to support this nomination.
Optional: You can enter the name of an additional person who is willing to support this nomination.
Optional: You can enter the email address of the additional person who is willing to support this nomination.
Optional: You can enter the name of an additional person who is willing to support this nomination.
Optional: You can enter the email address of the additional person who is willing to support this nomination.

Submit