The Juliette Gordon Low World Friendship Medal Nomination Form

The Juliette Gordon Low World Friendship Medal Nomination Form

Use this form to nominate a GSOFCT volunteer for the GSUSA JGL World Friendship Medal.
Description
The Juliette Low World Friendship Medal is awarded to individuals and councils who have enriched and leveraged the global understanding of Girl Guiding and Girl Scouting to grow responsible global citizens. This prestigious national award is approved by the Girl Scouts of the USA National Board of Directors.

Criteria
- Impact on girls: The nominee’s efforts include girl involvement resulting in increased opportunities for girl-led global opportunities and Take Action projects resulting in significant global impact.
- Commitment: The nominee has demonstrated dedication and commitment over a significant amount of time by continuously promoting and expanding the global dimension of Girl Guiding and Girl Scouting. The nominee has promoted the Juliette Low World Friendship fund or other global Girl Scouting funding opportunities.
- Global awareness: The nominee has created and promoted resources and opportunities that increase the understanding of the global dimension of Girl Guiding and Girl Scouting to the council and the larger community.
- Leadership: The nominee is recognized by girl and adult members, and the larger community, as a leader who leverages the global impact of Girl Guiding and Girl Scouting.
- Membership: The nominee is a current registered Girl Scout adult member in a council or USA Girl Scouts Overseas.
Submission Date*

MonthDayYear
Date
Nominee Information

All nominees and recognition recipients must be active registered Girl Scout adult volunteers in good standing with GSOFCT (ie: complete all required training, current background checks, and no outstanding balances or restrictions).
Nominee's Name*

Nominee's First NameNominee's Last Name
Nominee's Email Address*
example@example.com
Nominee's Troop Number*
Please enter the 5 digit troop # if not a member of a troop please enter 00000
Nominee's Service Unit Name*
Service Unit Name (if unsure of the SU please enter the town the nominee resides in)
What role does the nominee currently hold, if any?
Ie: Troop Co-Leader, Service Unit Manager, etc
Nominator Information

Nominations can be submitted by anyone OTHER than the nominee. This includes other GSOFCT volunteers, council staff, Girl Scout family members, Girl Scouts, and more. The person submitting the nomination does not need to be a registered member of GSOFCT. Volunteers CANNOT nominate themselves for recognition.
Nominator's Name*

Nominator's First NameNominator's Last Name
Nominator's Email*
example@example.com
Nominator's Troop Number*
Please enter the 5 digit troop # if not a member of a troop please enter 00000
Nominator's Service Unit Name*
Service Unit Name (if unsure of the SU please enter the town the nominee resides in)
1. Describe how the nominee provides and promotes girl-led global opportunities and global Take Action Projects. Please include the significant impact of these projects and how girls are involved in the planning process.
2. Describe how the nominee demonstrates a long-term commitment and dedication to promoting and expanding the global dimension of Girl Guiding and Girl Scouting.
3. Describe how the nominee supports and promotes the Juliette Low World Friendship Fund or other Girl Scouts of the USA global funding opportunities.
4. Describe resources and activities that the nominee created, promoted, and implemented to increase the global dimension of Girl Guiding and Girl Scouting to the council and the larger community.
5. Describe how the nominee has been recognized over the past several years—by a council, girl and adult members, and the larger community—as a leader who leverages the global understanding and impact of Girl Guiding and Girl Scouting.
Please explain how the nominee has met the above criteria:*

Endorser Information

Endorsements are separate from and in addition to the nomination. Endorsers must differ from the original nominator and cannot be from the nominee. If an endorsement from a council staff member is required and you are unsure of the contact, please reach out to Customer Care at customercare@gsofct.org and we will direct your request to the appropriate staff person.
Endorser #1*

Endorser #1 First NameEndorser #1 Last Name
Endorser #1 Email*
example@example.com
Endorser #2*

Endorser #2 First NameEndorser #2 Last Name
Endorser #2 Email*
example@example.com
Alternate Endorser

Alternate Endorser First NameAlternate Endorser Last Name
Alternate Endorser Email
example@example.com

Official GSUSA Nomination Form

Please complete the attached application and include it with your submission. Submissions received without a completed GSUSA form will not be reviewed or accepted.
Please upload the completed application.*

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The Juliette Gordon Low World Friendship Medal Nomination Form

Nominee Information

Nominator Information

Endorser Information

Official GSUSA Nomination Form