Council Award Nominations

Girl Scouts-Wilderness Road Council
2277 Executive Drive
Lexington, Kentucky 40505

NOMINATION FOR COUNCIL AWARDS
(Thanks Badge, Thanks Badge II, Honor Pin, Appreciation Pin)

Appreciation Pin - 2 endorsers; Honor Pin - 3 endorsers; and Thanks Badge and Thanks Badge II - 4 endorsers. NOTE: The nominator may also be an endorser.

Name of Nominee:

Street Address:

City: , State: Zip:

Phone: Email:

Service Unit:

Cluster:

Award Requested:

Girl Scout Position(s):

Current No. of years:

Previous No. of years:

(Please note: If nominee is a staff member, staff duties cannot be considered for this award.)

Has the nominee attended appropriate training sessions for positions held?

Yes No

Tell us about the service the nominee rendered and how it was beyond expectations of the position held. BE SPECIFIC, provide objective, results oriented information. And remember, staff duties may not be considered.

List the impact and results of this person’s actions.

Who benefited from this service?

Daisy Girl Scouts
Brownie Girl Scouts
Junior Girl Scouts
Cadette Girl Scouts
Senior Girl Scouts
One Service Unit
More then One Service Unit
Total Council

List how this service impacted the Council and the results of this person’s actions. (Include how service helped move Wilderness Road or GSUSA toward its’ goal and objectives.)

List other background, community roles, and services if relevant.

Nominated by:

Street Address:

City: , State: Zip:

Phone Number: Email:

List below the individuals providing letter of endorsement:

Name: Telephone Number:

DUE DATE: FEBRUARY 15th

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