Girl Scout Council of the Mid-South


	Outstanding Volunteer Nomination Form

Nominee's Name:
Address:
City:
State:
Zip:
Day Phone:
Evening Phone:
E-mail Address:
Service Unit:
Type of Girl Scout position:
The information contained in the nomination should be objective and results-oriented; giving pertinent facts and dates, with documentation and stated clearly and concisely.
Appreciation Pin Honor Pin Thanks Badge Thanks Badge II
Describe briefly the service rendered:
Document the way the service has been beyond the expectations for the position held.
Describe specifically how the audience (age level of girls and/or adults) benefited from the service.
List the council operating objective or goals this service helped to accomplish. Describe specifically how the service contributed or accomplished the objective or goal.
Describe specifically the impact the service has had on the two or more service units.
Attach letters of endorsement.
(This nomination will be considered only if all letters of endorsement are attached.)
Name of Individual/Group Nominating:
Address:
City:
State:
Zip:
Day Phone:
Evening Phone:
E-mail Address: