Nomination For Board Approved Awards Application MUST be received by December 1st Question Title * 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) Question Title * 2. Who is being nominated for the award? Please fill out completely. Name: * Troop: Service Unit: Address: * City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: Phone Number: Question Title * 3. Is the nominee a member of Girl Scouts? Yes No Question Title * 4. Current position(s) held by nominee Question Title * 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 No Not Known Question Title * 6. List Service Unit(s) impacted by nominee's service; if entire Council is impacted, please indicate that. Question Title * 7. Please list the names of the people you have asked to provide endorsement letters, including yourself, if applicable. Question Title * 8. Please list your information below: SUM or Nominator's Name: * Date: * Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming 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. Done