If you, or a woman you hold in high esteem, would like to be nominated for the 2024 Girl Scouts of Louisiana - Pines to the Gulf Women of Distinction Class, please fill out the following form by June 14, 2024. We understand that you might not know every answer to each question, but please try to provide as much information as possible, so that we can understand the nominee as best as we can.
Please fill out this section if you are NOT the nominee
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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Please fill out this section FOR the Nominee
Nominee Name
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First Name
Last Name
Nominee Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee Phone Number
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Nominee Email
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example@example.com
Nominee Job Title
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Nominee' s Company/Organization
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Highest Level of Education
High School Diploma or GED
Some college, no degree
Associate Degree
Technical Certification
Bachelor's Degree
Master's Degree
Doctoral Degree
Other
Degree's Received (Along with accompanying university)
Nominee's community service involvement:
Nominee's current or past memberships in professional organizations (include year):
Nominee's current or past board service (include year):
Nominee's current or previous affiliation with Girl Scouts, if any:
Nominee's other relevant experience:
The mission of Girl Scouts is to build girls of courage, confidence, and character who make the world a better place. How do you (or the nominee) currently help to support this mission and advocate for girls?
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Why do you (or the nominee) deserve to be a 2024 Women of Distinction Awardee?
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Please attach a picture, preferably a headshot, of the nominee here:
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