Adult Award Nomination Form 2025

The name of the person you are nominating (Nominee)*

First NameLast Name

Nominee's Email

example@example.com

Nominee's Phone Number*

Area CodePhone Number

Nominee's Troop Number (if applicable)

Nominee's Service Unit Number and/or Name

Please select the option that best describes your nomination:

I am nominating an individual for service to one troop, group, program site, or council department.I am nominating an individual for providing an exceptional outdoor experience.I am nominating an individual for service to one geographic area of service, such as a service unit.I am nominating an individual for service to two or more of the council areas (Appalachian Highlands, East Tennessee, or Tennessee Valley & Northern Georgia) or the entire Girl Scout Movement.I am nominating an individual for service to two or more of the council areas (Appalachian Highlands, East Tennessee, or Tennessee Valley & Northern Georgia) or the entire Girl Scout Movement who has already received the Thanks Badge.I am nominating a team that has surpassing team goals that impact council’s overall goals.

Has the Nominee been a volunteer for less than 3 years?

YesNoUnknown

Has the Nominee previously received the Volunteer of Excellence Award?

YesNoUnknown

The award best suited for this nominee is Rising Star. Please answer the following questions to nominate the candidate for the Rising Star Award.

The award best suited for this nominee is Volunteer of Excellence. Please answer the following questions to nominate the candidate for Volunteer of Excellence.

The award best suited for this nominee is Outdoor Trailblazer. Please answer the following questions to nominate the candidate for Volunteer of Excellence.

The award best suited for this nominee is Commitment to Excellence. Please answer the following questions to nominate the candidate for Volunteer of Excellence.

Has the nominee successfully completed a term of service and all requirements for the position? Describe your observations.

Has the nominee performed beyond expectations for the position to deliver the GSLE to girls using the national program portfolio, or has performance been beyond the expectations of the position and has supported council’s mission delivery goals? Describe your observations and include any applicable data and fact to support your response.

Describe how the candidate actively recognizes, understands, and practices the values of inclusive behavior.

The award best suited for this nominee is President’s Award. Please answer the following questions to nominate the candidate for President’s Award.

Has the service delivery team significantly contributed to meeting one or more of the council’s mission delivery goals? Describe and provide any available supporting data.

Does the service delivery team reflect the diversity of the target audience or area it serves, in girl and adult membership, in all pathways offered? Describe.

Describe how the service delivery team actively recognizes, understands, and practices the values of inclusive behavior.

The award best suited for this nominee is Appreciation Pin. Please answer the following questions to nominate the candidate for Appreciation Pin.

Describe how the service performed by the nominee is above and beyond the expectations for the position held, and made an impact on a geographic area within the council’s jurisdiction. Use available data to support your observations.

Describe how the candidate actively recognizes, understands, and practices the values of inclusive behavior.

The award best suited for this nominee is Honor Pin. Please answer the following questions to nominate the candidate for Honor Pin.

Describe how the service performed by the nominee is above and beyond the expectations for the position held, and made an impact on two or more geographic areas within the council jurisdiction. Use available data to support your observations.

Describe how the candidate actively recognizes, understands, and practices the values of inclusive behavior.

The award best suited for this nominee is Thanks Badge (or Thanks Badge II). Please answer the following questions to nominate the candidate for Thanks Badge (or Thanks Badge II).

Describe how the outstanding service performed by the candidate resulted in outcomes that benefited the total council or the entire Girl Scout organization, and is so significantly above and beyond the call of duty that no other award would be appropriate. Use available data to support your observations.

Describe how the candidate actively recognizes, understands, and practices the values of inclusive behavior.

Your Name*

First NameLast Name

Your Email

example@example.com

Your Phone Number

Area CodePhone Number

Your Troop number (if applicable)

Your Service unit number and/or Name

This award requires a letter of support from the relationship manager from the territory. I understand that it is my responsibility as the nominator to request this information.*

I acknowledge

This award requires a letter of support from a volunteer, parent, or girl member in the territory served. I understand that it is my responsibility as the nominator to request this information.*

I acknowledge

This award requires two letters of support from volunteers, parents, or girl members in the area served. Ideally, each letter will come from different parts of the area served to best show how service impacted a larger geographic area. I understand that it is my responsibility as the nominator to request this information.*

I acknowledge

I understand that I am completing a nomination and that the nominee is not guaranteed to receive the award. The nomination will be reviewed based on the nominee’s compliance with Girl Scout policies and procedures as determined by staff, and the recognitions committee and/or Board of Director’s review of this nomination and letters of support.*

I acknowledge

Adult Award Nomination Form

About the Nominator