GSWNY Adult Recognition nomination

Use this form to nominate for:

- Appreciation Pin

- Honor Pin

- Thanks Badge

- Thanks Badge 2

(Volunteer of Excellence is reviewed and awarded at the service unit level)

For presentation at the Annual Meeting, nomination must be submitted by March 1. For other presentation venues, nominations must be submitted at least 8 weeks prior to requested presentation date to ensure availability.

Please note: you cannot exit and return to this nomination once you have begun. Please preview the questions to ensure you have all your information prepared.

Question Title

* 1. Your contact information:

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Contact information for nominated volunteer:

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 3. Service Unit name for nominee:

Question Title

* 4. For which award are you nominating this person?

Appreciation Pin - primary work is in one troop or service unit

Honor Pin - primary work is in two or more service units

Thanks Badge - primary work is at the council or national level

Thanks Badge 2 - past recipient of Thanks Badge; primary work is at the council or national level

Question Title

* 5. What positions does this volunteer hold/has held that are being considered for this award? Please indicate approximate years, such as "Troop Leader, 2012-present." Use as many boxes as needed; you may not fill all of them.
Please ensure that the positions listed are appropriate for the award requested.

Position #1

Position #2

Position #3

Position #4

Position #5

Position #6

Question Title

* 6. What other GSUSA formal awards has this volunteer received? Select all that apply. Volunteers may not be recognized more than once for the same service.

Volunteer of Excellence

Appreciation Pin

Honor Pin

Thanks Badge

Thanks Badge 2

If nominating for Thanks Badge 2, in what year was the Thanks Badge awarded? A person may earn Thanks Badge 2 at least 5 years after receiving Thanks Badge 1.