Council Level Recognition Nomination

Council Recognition NOmination

Application Deadline - February 28, 2025
Directions for Nomination:

Girl Scouts of Ohio's Heartland's Adult Recognitions Committee will only consider complete applications that are received by the deadline (Feb. 28). It is the nominator’s responsibility to ensure that the nomination is complete before submission.

NOTICE: Once your nomination has been submitted, you will receive a confirmation from Jotform that the nomination was received. You will be contacted if there are any specific questions about the nomination.

If you have any questions please reach out to your membership manager or email volunteer@gsoh.org.
Nominator Data
Nominator Full Name*

First NameLast Name
Nominator Phone Number*
Nominator Email *
Where the confirmation will be send to
Nominator Service Unit*
Nominee Name*

First NameLast Name
Nominee Email *
Where the confirmation will be send to
Nominee Service Unit*
Is this person a currently registered Girl Scout?*

YesNo
Current position(s)/service delivery areas held by the nominee. Appreciation Pin requires - 1, Honor - 2 or more Thanks Badge and Thanks Badge II requires positions at the council level. Examples: troop, service team, product program, day camp, council committee, etc.*

0/300
Has the nominee completed the required trainings for the positions held? We will check these. Please ask your MM or your service unit looker person if you don't know before completing nomination.*

YesNo
Has the nominee provided service above and beyond what is required for the position?*

YesNo
Upload a picture of the nominee here
Mark the pin for which the nominee is being considered:*

AppreciationHonorThanks 1Thanks 2
List THREE ways in which this nominee has had a direct impact on the effected service delivery area(s):*

0/500
List any other specific examples of how this nominee's exemplary service has surpassed the expectations of the nominee's position:*

0/500
Describe the special qualities of the nominee in support of this nomination*

0/500
Describe in detail any additional information to be used in support of this nomination. Feel free to use anecdotes that could be used for the award presentation.*

0/500
If the nomination is approved, does the team plan to give the pin at a location other than the annual meeting? If so, please indicate that below - location, date, anything else we need to know?*

0/500
The individuals below have agreed to be contacted if necessary to provide more information about the candidate to endorse this nomination. (Appreciation (2), Honor (3), Thanks and Thanks 2 (4). *
Nominator's E-Signature
By signing the space below, you are agreeing that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your nomination.

The nomination will be reviewed and sent through the adult recognitions volunteer committee. Unless you hear something prior about missing information, the next communication will be after that meeting.
Signature

Clear
Should be Empty:

Council Recognition NOmination

Nominator Data

Nominator's E-Signature