Adult Recognition Nomination

Adult Recognition Nomination
Your Name*

First NameLast Name
Your Email Address*
example@example.com
Your Phone Number
Please enter a valid phone number.
I am a: (check all that apply)*

ParentLeaderService Team MemberGirl Scout Member
About the Nominee
Name of Nominee*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee Email*
example@example.com
Has the nominee received any prior awards? If so, list them if you know which.
Any active adult member of GSGWM can be nominated for one of the awards listed below. Nominations can be made by girls, families, volunteers, and staff.

All nominations, except the Torchbearer Award, require Letters of Endorsement written by someone other than the person submitting the nomination. The Torchbearer Award requires an additional nomination form.
For which award are you nominating this volunteer?*

Volunteer of Excellence AwardAppreciation PinHonor PinThanks BadgeThanks Badge IINew Found TreasureTorchbearer Award
Please describe in 300 words or less specific details that summarize how this candidate meets the requirements for the specific award based on the description provided. How has the nominee made an impact? Please provide an example.*

Award	Letters of Endorsment
Volunteer of Excellence Award	1 Letter
Appreciation Pin	2 letters
Honor Pin	3 Letters
Thanks Badge	4 Letters
Thanks Badge II	4 Letters
New Found Treasure	1 Letter
Torchbearer Award	No Letter, Nomination

About the Nominee