2004 Recommendation for Silver Beaver Award - the Cascade ...

2010 SILVER BEAVER AWARD
NOMINATION
Submissions due to district coordinator before March 1, 2010
Presented by the Cascade Pacific Council
INSTRUCTIONS:
1. Please submit all forms ELECTRONICALLY. Additional forms can be found on the council website
(Hwww.cpcbsa.orgH)
To Use this Form:
• TYPE in all requested information.
• Insert a picture of the nominee
• Email application to your district Silver Beaver Coordinator for approval and signature.
2. Recommendation forms must be signed by the District Silver Beaver Coordinator: see list on
Hwww.cpcbsa.org
3. A NEW submission is required. No previously submitted forms are considered. All submissions MUST be
ELECTRONICALLY on this “2010” form.
4. Additional pages will NOT be considered. Please mention only the most important highlights. This limit
provides for equality among nominees.
5. Original form with photo must be received by your district’s coordinator before March 1, 2010 in order to be
considered.
6. Early submission is better- Don’t wait for the deadline to submit nominations.
SELECTION PROCESS:
The council forms a Silver Beaver Selection Committee, comprised of Silver Beavers selected from a variety of districts.
Members of this committee carefully review all recommendations, measuring each to national guidelines:
“The Silver Beaver Award is made for noteworthy service of exceptional character to youth by
registered Scouters, Cub Scouters, Varsity Scouters, and Venturing leaders within the territory under
the jurisdiction of a local council.” “Nominations will not be considered for former professional
Scouters or council employees within five years of their leaving employment with BSA…this award is
limited to adults 21 years of age or older.” Advancement Committee Policies and Procedures manual
(33088d) Pg47.
The number of Silver Beaver awards presented is based upon the number of units the council serves:
“Each duly chartered local council shall be entitled to one nomination. Councils having more than 60
units shall be entitled to further nominations on the basis of one for each additional 60 units or fraction
thereof in their territory, as of December 31 preceding the nomination…” Rules and Regulations of the
Boy Scouts of America book (57-492) Article X, Section 6, Clause 3(f).

2010 Recommendation for Silver Beaver Award
***Submissions due before March 1, 2010 to district coordinator***
INFORMATION ABOUT THE NOMINEE:
Name: _____________________________________________
District: ____________________________________________
Address:_____________________________________________
City / St / Zip: _______________________________________
Phone: ____________________________ H/ W
Occupation: ________________________________________
E-Mail: ____________________________________________
Current Scouting Position: ________________________________
Unit Type & No.: _____________________
Total Years of Adult Scouting: ___________________ Age: ________
RECORD OF ADULT SERVICE IN THE BOY SCOUTS OF AMERICA:
Positions Unit / Institution Dates Served
Please return to the District Silver Beaver
Nomination Coordinator where the nominee
is registered in time for them to approve and
submit to the council office by
March 1, 2010.
This is a confidential nomination.
Under no circumstance should a nominee know
that he/she has been nominated.
Statement covering nominee’s standing in the community (cite activities in which the individual is most active in
business, professional, civic, religious, educational, fraternal, veterans, rural, and other fields exclusive of
Scouting) Service should be above and beyond expectations for positions:
Narrative discussion of nominee’s service to youth:

Nominee has received the following Scouter recognition (date if known, i.e.: ‘91) :
Tiger Leaders’ Award Commissioner Arrowhead Commissioner Key
Den Leaders’ Award Distinguished Commissioner Cub Scouter Award
Cubmasters Award Scouter’s Training Award Sea Badge
Webelos Den Leader Award Scouter’s Key
CS Trainer’s Award Scoutmasters Award of Merit Order of the Arrow:
Wood Badge Scouter Religious Award Ordeal (OA)
Venturing Advisor’s Key Venturing Training Award Brotherhood (OA)
Skipper’s Key District Committee Key Vigil (OA)
District Award of Merit: ____________________________________________________________
(Year, District & Council)
Other Scouter Recognition(s):
Other information not covered above:
ADDITIONAL REFERENCES (Both in and out of Scouting): Please ensure contact info is accurate
Name: ____________________ E-Mail: ___________________ Phone: (_____)_________________
Name: ____________________ E-Mail: ___________________ Phone: (_____)_________________
Name: ____________________ E-Mail: ___________________ Phone: (_____)_________________
2BNOMINATED BY:
Name: ____________________ E-Mail: ___________________ District: _______________________
Day Phone: (_____) __________________ Eve Phone: (______) _____________________________
Best method of contact ______________________ Best times to contact: _______________________
0BPlease return to the District Silver Beaver Nomination Coordinator where the nominee is registered
1Before March 1, 2010.
This is a confidential nomination.
Under no circumstance should a nominee know that he/she has been nominated.