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Deadline for filing – January 15

Nomination Form For Adult Recognition

Name of Nominee:
Address of Nominee
Town/City
County
State
Zip Code

Association Nominee Belongs to:
What Awrd are you nominating this Volunteer for:
Describe the volunteer work done and why you consider it outstanding
Describe how this volunteer’s work significantly impacted membership growth and/or retention, fund development, or increased community visibility for Girl Scouting through program participation, committee work, Association event, etc..
Please describe how the nominee actively recognizes, understands, and practices the Girl Scout values of inclusion?
Is there any other information you would like to share about the nominee?

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