APPRECIATION PIN NOMINATION FORM
Please provide detailed and accurate information and reference Volunteer Essentials for all award
guidelines and requirements. The information provided may be used in the presentation of the
award. Attach additional sheets if necessary.
Appreciation Pin Criteria:
The candidate is a registered Girl Scout Adult Volunteer and has provided outstanding service to ONE or
MORE geographic or program delivery audience in a way that furthers the Council’s goals. The candidate
has significantly contributed to meeting one or more council goals in membership growth and retention, fund
development, or increased community visibility in two or more geographic areas. And the candidate activity
recognizes, understands and practices the values of inclusive behavior.
When completed, forward this nomination form and required Letters of Endorsement directly to the Adult
Award Coordinator to begin the review process:
ATTN: ADULT AWARDS—Appreciation Pin, GSWPA Johnstown Office, 612 Locust Street,
Johnstown, PA 15901 or email to [email protected].
Please note: Letters of endorsement must be from individuals other than the nominator.
All awards for presentation at Fall Events or the Fall Town Hall must be submitted by August 10.
All awards for presentation at the Spring Events or Annual meeting must be submitted by Feb. 1.
NOMINEE INFORMATION
Name of nominee:
Address:
Street
City
Phone-Day:
Phone-Cell:
Service Unit:
Current position(s) held in Girl Scouting:
State
Zip
Phone-Evening:
Troop # (if applicable):
Previous position(s) held in Girl Scouting:
Previous awards earned by nominee:
Who is being impacted by the work of this volunteer?:
How has the nominee provided exemplary service in their service unit?:
(You may use additional paper as needed)
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Updated 7/14/14
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