Application MUST be received by December 1st

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

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

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

* 4. Current position(s) held by nominee

* 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?

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

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

* 8. Please list your information below:

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.