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.

I would like to thank

First Name *

Last Name *

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 *

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 *

Last Name *

Phone Number *

Email Address *

Please confirm email address *