HONOR 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.
Honor Pin Criteria:
A registered Girl Scout Volunteer, this candidate has provided outstanding service to TWO or MORE
geographic/program delivery audiences in a way that furthers the council’s goals. She/he has significantly contributed
to meeting one or more council goals in membership growth and retention, fund development, or increased community
visibility in two ore more geographic areas. She/he also 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—HONOR 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 (include at least two geographic areas, girls adults, etc.?:
How has the nominee provided exemplary service in these areas?:
(You may use additional paper as needed)
Updated 7/14/14
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