Council Adult Recognition Award Recipient Form

Council Adult Recognition Award Recipient Form
Use this form to nominate a volunteer for one of the following awards. Please make sure that your nominee meets the critera for the particular award.

The Appreciation Pin recognizes an individual’s exemplary service in delivering the Girl Scout Leadership Experience – service which has had a measurable impact on one geographic area and helped the council surpass mission-delivery goals.
Number of Required Endorsements: 2
Who to Consider: Troop leadership team members who serve Girl Scouts of Middle Tennessee beyond their own troops; Service unit team members; Service unit or regional trainers; Any registered Girl Scout adult member performing in an area of service beyond their own troop
Criteria: Nominee provides key support at a service unit, regional, or council level in one or more geographical or functional area

The Honor Pin recognizes an individual’s exemplary service in support of delivering the Girl Scout Leadership Experience – service which has had measurable impact on two or more geographic areas of service and helped reach and surpass mission-delivery goals.
Number of Required Endorsements: 2
Who to Consider: Troop leadership team members who serve Girl Scouts of Middle Tennessee beyond their own troops; Service unit leadership team members; Service unit or regional trainers; Any registered Girl Scout adult member performing in an area of service beyond their own troop
Criteria: Nominee provides key support at a service unit, regional, or council level in two or more geographical or functional areas

The Thanks Badge honors an individual whose ongoing commitment, leadership, and service has had an exceptional, measurable impact on meeting mission-delivery goals and priorities benefiting the entire council or Girl Scout Movement.
Number of Required Endorsements: 2
Who to Consider: Any registered Girl Scout adult member holding a significant volunteer role beyond their own troop or service unit
Criteria: Nominee has given service for an extended period of time beyond the required role

The Thanks Badge II for Continuing Service recognizes a previous Thanks Badge recipient whose continued outstanding commitment, leadership, and service has had an exceptional, measurable impact on meeting mission-delivery goals and priorities benefiting the entire council or Girl Scout Movement.
Number of Required Endorsements: 2
Who to Consider: Any registered Girl Scout adult member who has already received the Thanks Badge
Criteria: Nominee has already received Thanks Badge and has continued to give service for an extended period of time beyond the required role
Before you complete the nomination process for a volunteer, we need some information about you. Please fill out this section with your information
Date of Submission*

MonthDayYear
Date
Your Name*

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number*
Please enter a valid phone number.
Your Email*
example@example.com
Mark which of the following recognitions you are nominating:*

Appreciation PinHonor PinThanks BadgeThanks Badge II
The recognitions on this form require two (2) letters of endorsement. These can be uploaded on this application, sent via email to afair@gsmidtn.org, or mailed to Girl Scouts of Middle Tennessee, Attn: Volunteer Resources, 4522 Granny White Pike, Nashville, TN 37204.*

I have read the above statement, and will send in my letters of endorsement.
Fill out this section for with the information on the volunteer you are nominating
Nominee Name*

First NameLast Name
Nominee Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee Phone Number*
Please enter a valid phone number.
Nominee Email Address*
example@example.com
Nominee Position in Girl Scouting*
Girl Scouts of Middle Tennessee Nominee Adult Service

Please complete the following to the best of your knowledge. If unknown, leave blank or write unknown

	Years of Service	Training Received
Leader/Assistant Leader
Troop Committee Member
Troop Cookie Manager
Troop Fall Product Program Manager
Service Unit Manager
Service Unit Fall Product Coordinator
Service Unit Cookie Coordinator
Special Event Director
Day Camp Director
Day Camp Staff
Trainer/Facilitator
Board Member
National Council Delegate
National Council Alternate Delegate
Board Committee Member
Other

Girl Scouts of Middle Tennessee Nominee Previous Awards

Please complete the following to the best of your knowledge. If unknown, leave blank or write unknown

	Year Awarded
Outstanding Leader
Outstanding Volunteer
Volunteer of Excellence
Trained Volunteer Pin
Green Leaf (indicate number)
Silver Leaf (indicate number)
Gold Leaf (indicate number)
Numeral Guard (indicate year)
Appreciation Pin
Honor Pin
Thanks Badge
Thanks Badge II
President's Award
Other

Once you have submitted this form, please send your two (2) letters of endorsement to afair@gsmidtn.org or upload them below
Letters of Endorsement Upload

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Council Adult Recognition Award Recipient Form

Before you complete the nomination process for a volunteer, we need some information about you. Please fill out this section with your information

Fill out this section for with the information on the volunteer you are nominating

Girl Scouts of Middle Tennessee Nominee Adult Service

Girl Scouts of Middle Tennessee Nominee Previous Awards

Once you have submitted this form, please send your two (2) letters of endorsement to afair@gsmidtn.org or upload them below