ADULT RECOGNITION AWARD – NOMINATION FORM
(Please type or print in black ink.)
January
February
15
15
Council Recognitions Event - Spring
Community/Region Functions - April/May
Nominee:
Today's Date:
Current position(s) in Girl Scouting:
Address of nominee:
.
Street
Telephone: (
)
City
(
(day time)
Region:
)
(evening)
Community:
Total years of Adult Service: GSSJC
Zip
(email address)
Troop # (if applicable):
Other Councils
Girl years
How has nominee delivered service beyond expectation of the position held?
List the impact and results of this nominee's actions:
Specific audience benefiting from service:
A complete nomination will include:
1 - GSSJC F-54 Adult Recognition Award – Nomination Form
3 - GSSJC F-54a Letters of Endorsement
1 - GSSJC F-122 Adult Volunteer Record
(This record is essential for committee to have a comprehensive
summary of nominee's volunteer history.)
Letters of endorsement from a total of three (3) registered Girl Scout
nominators are required. The "first nominator" named below will be contacted
if additional information is needed, will be notified of the recognition awarded,
and will have the option of reading the speech if presented at an Adult
Recognition Event.
1.
Send completed nomination forms to:
Girl Scouts of San Jacinto Council
Adult Recognition Committee
3110 Southwest Freeway, Houston, TX 77098
GSSJC F-54
Registered nominator (contact + letter of endorsement)
Phone
Registered nominator (letter of endorsement)
Phone
Registered nominator (letter of endorsement)
Phone
2.
3.
Rev. 8/13 from 4/07