VOLUNTEER OF EXCELLENCE 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. Please select only ONE award per nomination form.
Volunteer of Excellence Pin Criteria:
The candidate has successfully completed a term of service and fulfilled all requirements of the position.
She/he has performed beyond expectations for the position to deliver the Girl Scout Leadership
Experience to girls using the national program portfolio or has gone beyond the expectations of the
position and supported council’s mission delivery goals in one or more of the following areas: Membership
Development/Community Cultivation, Volunteer Relations/Support, Program, Leadership and Governance,
Fund Development, and Council Support Services. She/he actively recognizes, understands, and
practices the values of inclusive behavior in her/his troop and service unit.
When completed, forward this nomination form and required Letters of Endorsement directly to the
Service Unit Team. Service Unit Managers or Membership Managers may approve the award and then
forward a copy of approved nomination forms and endorsement letters to council for processing:
ATTN: Adult Award—Volunteer of Excellence, 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.
Awards may submitted for final approval at any time throughout the year.
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 troop/service unit?:
(You may use additional paper as needed)
OVER
Updated 5/30/13
137