Legacy Pearl Nomination
Potential Honoree Name:
*
First Name
Last Name
Street Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Years as a Youth Girl Scout:
Council(s):
Years as an Adult/Lifetime Girl Scout:
Council(s):
Higher Awards Achieved:
Girl Scout Scholarship Recipient:
Yes
No
Roles Served:
Board
Service Unit
Troop Leader
Finance Chair
Staff
Cookie Chair
Board Development Committee
GSKH National Delegate
Alumni & Friends
Council Committee Volunteer
GSUSA Comittee
Why Should They be Honored as a Legacy Pearl?
Recommended By:
*
First Name
Last Name
Email:
*
example@example.com
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: