Appreciation Pin Nomination

The Appreciation Pin recognizes an active Girl Scout volunteer’s exemplary service in support of delivering the Girl Scout Leadership Experience.

This service, which has had a measurable impact on one service unit, helps reach and surpass the mission-delivery goals of the area.

Requirements:
•The nominee is an active, registered Girl Scout volunteer whose service is above and beyond the expectations for the position held.
•The nominee has made an impact on one service unit within the council’s jurisdiction.

Requests must be received by February 1st.

Is the nominee a registered member of Girl Scouts:*

YesNo

Has the nominee been a volunteer for a full membership year?*

YesNo

Based on the information provided, the volunteer does not qualify for the Honor Pin award.

To be eligible, one full membership year must be completed by the volunteer.

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Has the nominee demonstrated outstanding service to a SINGLE Service Unit?*

YesNo

Service Unit Impacted*

Nominator's Name:*

First NameLast Name

Email:*

example@example.com

Service Unit:*

Phone Number:*

Nominee Name:*

First NameLast Name

Nominee Email:*

example@example.com

Service Unit:*

Troop Number:*

Give two examples of how the nominee has given exemplary service to the Service Unit.*

Example 1

Example 2

Give two examples of how the nominee has provided a measurable impact in the Service Unit. Each example should include details of the event, activity, program, etc. Estimate the number of girls reached and the impact the nominator saw with the girls. Provide as much detail as possible to show the impact the nominee had on the Service Unit.*

Example 1

Example 2

Give TWO examples of how the nominee practices inclusive behavior?*

Example 1

Example 2