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Outstanding Leader Award Nomination Form - the Girl Scouts ...

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<strong>Girl</strong> <strong>Scouts</strong>, Hornets’ Nest Council7007 Idlewild Road • Charlotte, NC 28212704-537-7974, Outside Mecklenburg 800-868-0528Website: www.hngirlscouts.org<strong>Outstanding</strong> <strong>Leader</strong> <strong>Award</strong> <strong>Nomination</strong> <strong>Form</strong>The <strong>Outstanding</strong> <strong>Leader</strong> <strong>Award</strong> recognizes troop/group leaders, assistant troop/group leaders, or groupcoordinators whose performance in working with girls is so outstanding that it merits recognition by <strong>the</strong> ServiceUnit or program delivery unit.I. Nominee InformationNominee’s Name:Address:Phone:Service Unit:Troop Number and Grade Level:Number of girls registered:Number of years as leader:Current <strong>Girl</strong> Scout position:Previous <strong>Girl</strong> Scout positions:Submit information to Service Unit by March 1Required adult learning opportunities (trainings) completed for positions held:_____Getting Started or <strong>Leader</strong> 101_____Orientation_____Age Level or <strong>Leader</strong>ship Essentials_____First Aid_____Exploring Outdoors or Be Safe, Be Ready_____Troop Camp or Fire Building/Outdoor Cooking and The Overnight Camp ExperienceO<strong>the</strong>r________________________________________________________________________II.III.Nominator Information<strong>Nomination</strong> made by:Address:Phone:Email:Endorsement InformationList names and telephone numbers of additional individuals submitting letters ofendorsement (2).Name Phone (day) Phone (evening)1.2.AD-18 7/7/09


IV. <strong>Leader</strong>ship and Program DeliveryThe following bullet points outline <strong>the</strong> position description of a troop leader. Describe how <strong>the</strong>nominee has exceeded <strong>the</strong>se requirements. Use specific examples. Include a written account of<strong>the</strong> following information. Please be specific using documented facts and dates. Attachadditional sheets as needed.o Hold regularly scheduled troop meetingso Use <strong>the</strong> <strong>Girl</strong> Scout three keys to leadership as <strong>the</strong> basis for troop activities:- <strong>Girl</strong>s Discover – <strong>Girl</strong>s understand <strong>the</strong>mselves and <strong>the</strong>ir values and use <strong>the</strong>ir knowledge andskills to explore <strong>the</strong> world- <strong>Girl</strong>s Connect - <strong>Girl</strong>s care about, inspire, and team with o<strong>the</strong>rs locally and globally- <strong>Girl</strong>s Take Action - <strong>Girl</strong>s act to make <strong>the</strong> world a better place.o Carry out troop activities to ensure and protect <strong>the</strong> safety of all participantso Keep accurate troop recordso Troop communication - Keep girls and parents informed of troop finances and activitieso Participate in Service Unit and GSHNC sponsored activities1. What service projects has <strong>the</strong> troop participated in and how were <strong>the</strong> girls involved?2. List Journey <strong>Award</strong>s, Petals, Try-Its, Badges, Interest Project Patches or Studio 2B charms<strong>the</strong> troop has earned recently:3. How are <strong>the</strong> girls involved in planning and carrying out troop activities?Additional information you would like to share:Reminder: Submit two letters of endorsement with this nomination form.

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