Nomination For Board Approved Awards

Application MUST be received by December 1st

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* 1. Check the award that this application is being submitted for:

Appreciation Pin (2 letters of endorsement)

Honor Pin (3 letters of endorsement)

Seagull Award (3 letters of endorsement)

Thanks Badge (4 letters of endorsement)

Thanks Badge II (4 letters of endorsement)

President's Award (3 letters of endorsement)

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* 2. Who is being nominated for the award? Please fill out completely.

Name: *

Troop:

Service Unit:

Address: *

City/Town: *

State: *

ZIP: *

Email Address:

Phone Number:

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* 3. Is the nominee a member of Girl Scouts?

Yes

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* 4. Current position(s) held by nominee

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* 5. GSCB will verify all nominee's required training is completed. To your knowledge, has the nominee completed all their required training for current position?

Yes

Not Known

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* 6. List Service Unit(s) impacted by nominee's service; if entire Council is impacted, please indicate that.

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* 7. Please list the names of the people you have asked to provide endorsement letters, including yourself, if applicable.

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* 8. Please list your information below:

SUM or Nominator's Name: *

Date: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address:

Phone Number: *

Presentation of awards will be at the GSCB Annual Meeting. Nominee and Nominator will be notified by letter after the Board of Directors approves the nomination.