Letter of Endorsement for Adult Recognition

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Please complete this form for nominations that require Letters of Endorsements. The form must be submitted at the same time as the nomination. Please refer to the Recognition Booklet for the number of letters that are required for each nomination.

Letters are due to the Council on or before January 31st, 2021

The following recognitions require Letters of Endorsement:

GSGNY Leader of Excellence Award - 2 letters

Appreciation Pin - 2 letters

Honor Pin - 3 letters

Volunteer of Excellence Award - 3 letters

Thanks Badge - 4 letters

Thanks II Badge - 4 letters

Greater New York Executive Award - 5 letters

Virtual Volunteer of Excellence Award - 1 letter

Nominee's Information

Name*

First Name

Last Name

Nomination for: (Please check which applies)*

GSGNY Leader of Excellence Award Appreciation Pin Honor Pin Thanks Badge Thanks Badge II Volunteer of Excellence Greater New York Executive Award Virtual Volunteer of Excellence Award

Submitted by

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Email*

Service Unit Number

Please enter the borough in which the nominee serves as a volunteer.

Indicate your reasons for endorsing this nomination. Please be as specific as possible. Please answer the following questions.

In what capacity are you familiar with the nominee's performance/contributions to Girl Scouting?*

Please give a detailed description of how the nominee has delivered service beyond expectation of the position held.*

List the impact and results because of the nominee's action. How did the nominee's contribution benefit Girl Scouting?*

List other background information, community roles and services if relevant.

Finalization

By signing my name in the space provided below, I am affirming that the information included in this application is correct. I understand that providing misinformation could result in the nomination not being approved.*

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Staff Section

Borough Recognition Committee - Please select one of the following

Endorses this Nomination Does not endorse this Nomination

Signature of Borough Recognition Chair

First Name

Last Name

Date