Girl Scouts-Wilderness Road Council
2277 Executive Drive Lexington, KY 40505
(859) 293-2621 (800) 475-2621 Fax: (859) 299-3692

Name of Nominee:

Street Address:

City: , State: AK AL AR AZ CA CO CT DE FL GA HI ID IL IN IO KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip:

Phone: Email:

Has been a leader since:

Area: Area 1 Area 2 Area 3 Area 4 Area 5 Area 6 Area 7 Area 8 Area 9 Troop #: Age Level: Daisy Brownie Junior Cadette Senior

Cluster: Ken-O-Valley Jenny Wiley Mountain Laurel Bluegrass S.U.: Anderson Bath Bell Berea Bourbon Boyd Boyle Breathitt Carter Casey Claiborne/Middlesboro Clark Clay Clinton Elkhorn City Elliott Estill Fayette A Fayette B Fayette C Fayette D Fayette E Fayette F Fayette G/H Fayette X Floyd Franklin Garrard Greenbo Harlan/Harlan Harlan/Tri-Cities Harrison Iron Hills Jackson Jessamine Johnson Knott Knox Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Magoffin Martin McCreary Menifee Mercer Montgomery Morgan Nicholas Owsley Perry Phelps Pikeville Powell Pulaski Richmond River Valley Rockcastle Rowan Russell Scott Shelby Valley South Shore Wayne Whitley/Corbin Whitley/Williamsburg Wolfe Woodford

Standards for consideration:

Has the nominated leader done the following (please check off all that apply):

Secured a registered troop committee.

Taken Basic Leadership Training.

Attended Service Unit meetings regularly or made sure the troop was represented.

Taken additional enrichment trainings, such as First Aid/CPR and Troop Camp Training.

Troop meets or exceeds the Council average troop size.

Filled out and submitted paperwork on time.

Turned In troop status report on time.

Troop program Included activities from all 5 Worlds of Interest.

Encouraged girl participation in decision-making, goal setting and evaluation.

Has ongoing communication with parents other troop.

Why she is so special:
Explain what you feel sets this volunteer leader apart from others:

Service Unit Manager: Phone:

 Email: S.U.: Anderson Bath Bell Berea Bourbon Boyd Boyle Breathitt Carter Casey Claiborne/Middlesboro Clark Clay Clinton Elkhorn City Elliott Estill Fayette A Fayette B Fayette C Fayette D Fayette E Fayette F Fayette G/H Fayette X Floyd Franklin Garrard Greenbo Harlan/Harlan Harlan/Tri-Cities Harrison Iron Hills Jackson Jessamine Johnson Knott Knox Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Magoffin Martin McCreary Menifee Mercer Montgomery Morgan Nicholas Owsley Perry Phelps Pikeville Powell Pulaski Richmond River Valley Rockcastle Rowan Russell Scott Shelby Valley South Shore Wayne Whitley/Corbin Whitley/Williamsburg Wolfe Woodford

Nominator:   Phone:  

Email: Area: Area 1 Area 2 Area 3 Area 4 Area 5 Area 6 Area 7 Area 8 Area 9

Nomination must be received In the Council office on February 1. Selection will be made by the Area Nominating and Resource Committee.