Girl Scouts of Southern Illinois - Adult Award Nomination Form

Nominations must be submitted no later than January 19, 2016. For questions regarding the nomination process of the Adult Awards, please contact or call the Volunteer Services Department at 800.345.6858.

Please describe the nominee's accomplishments in detail, giving as much specific information as you can related to the criteria for the award.

See below for the minimum required endorsements in addition to the nomination form for each award:

Volunteer of Excellence = One(1) endorsement.
President's Award = One(1) endorsement.
Appreciation Pin = One(1) endorsement.
Honor Pin = Two(2) endorsements.
Thanks Badge = Three(3) endorsements.
Thanks Badge II = Three(3) endorsements.
GSSI Heart of Gold = Three(3) endorsements.

* 1. Award for which you are nominating:

* 2. Nominee Information:

* 3. Previous awards earned by nominee (include dates):

* 4. Previous Girl Scouting positions held by nominee:

* 5. Number of years as a volunteer (approx.):

* 6. Nominator Information:

* 7. Endorsements:
Please provide name(s) and email address (if you have it) for volunteers completing endorsements for this nomination. Or note if you need assistance in completing the endorsement(s). As a nominator you cannot also complete an endorsement for this nomination.

* 8. Please give a detailed description of how nominee has delivered service beyond expectation of the position(s) held. BE SPECIFIC and include the impact on girls and or adults as applicable.