Has someone in Girl Scouts of Greater Chicago and Northwest Indiana made a difference to you, your daughter, your granddaughter, Girl Scout troop or Service Unit? If so, please complete the information below to recognize the individual who helped make a difference. The outstanding individual will receive an expression of appreciation from our CEO, Nancy Wright.

Additional information on ways to recognize volunteers, such as awards and formal recognition, including descriptions and procedures for nomination, can be found on our website in the Adult Recognition Manual www.girlscoutsgcnwi.org/recognition

Questions? Please email adultrecognition@girlscoutsgcnwi.org

I would like to thank

First Name of person I would like to thank *

Last Name of person I would like to thank *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Please confirm email address *

Please upload any documents (photos, etc.) that may be helpful.

Service Unit #
(if applicable)

Let us know more about this individual

This person made a difference by doing the following *

Description (please be specific and give examples - this helps us to customize the message they will recieve) *

0/500 words

Date * +

Location/event/program *

Your Information

I prefer to remain anonymous to the honoree

Your information is being collected in case we have further questions.

First Name of person filling out form *

Last Name of person filling out form *

Phone Number *

Email Address *

Please confirm email address *