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Volunteer Recognition Nomination Form Nominee Information

Please provide detailed and accurate information and reference Volunteer Essentials (CLICK: volunteer appreciation) for all award guidelines and requirements. The information provided may be used in the presentation of the award. These awards require approval by the GSMW Board of Directors.

Submit this online nomination form and the required Letters of Endorsement   (CLICK: award.endorsement.letter adults) to Stephanie Lefevre at stephaniel@gsmw.org or print and mail to Stephanie Lefevre, 2303 Grand Ave, Billings, MT 59102. NOTE: Endorsement letters may also be submitted in the form of an email from the nominator (rather than mailed). A signature is not required if the letter is sent from the nominator’s email address. Please send the email letters of endorsement to the same e-address above.

Please note: Letters of endorsement must be from individuals other than the nominator. All nominations and endorsements must be submitted by February 14th, 2014.

Please attach a photo of nominee to be used in the recognition ceremony ( upload at the bottom of nomination page, below).


The nominee is being nominated for: *
 Appreciation Pin (w/2 letters) Honor Pin (w/3 letters) Thanks Badge (w/4 letters) Thanks Badge II (w/4 letters) Volunteer of Excellence (w/2 letters)

These awards require approval by the Board of Directors. Submit this online nomination form and the required Letters of Endorsement to Stephanie Lefevre at stephaniel@gsmw.org or 2303 Grand Ave Billings, MT 59102. Please note: Letters of endorsement must be from individuals other than the nominator. All nominations and endorsements must be submitted by February 14th. Please click here to review award criteria.

Please attach a photo of nominee to be used in the recognition ceremony.


NOMINEE INFORMATION

Name of nominee *

Address
Street:
City:
State:
Zip:

Phone number
Day:
Cell:
Evening:
Email address:

Service Unit:

Troop # (if applicable):

Current position(s) held in Girl Scouting:

Previous position(s) held in Girl Scouting:

Does the nominee meet all the accountabilities of the position description for the current position(s) held?:
 Yes No

If no, please explain:

Describe service rendered:

Please give a detailed description of how the service is outstanding and beyond the expectations of the position held:

List the results of the nominee's actions and the impact on girls:

List the specific audience(s) benefiting from the service rendered:


Please list the individuals who are submitting letters of endorsement: (Please note: The individual submitting the award nomination cannot write a letter of endorsement for that nomination.)

1. Name:

Position:

Address:

Day Phone:

Email:

2. Name:

Position:

Address:

Day Phone:

Email:

3. Name:

Position:

Address:

Day Phone:

Email:

4.Name:

Position:

Address:

Day Phone:

Email:


Name of person submitting nomination form:

Name:

Date:

Position:

Address:

Phone:

Email:

Photo (limit: 2 MB):