Adult Recognition Awards Submission

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Recognition Award Nomination

Girl Scout Hero recognizes an individual, group, or organization that has given meaningful, outstanding service at the council level. Girl Scout membership is not required.

Girl Scout Enthusiast is an individual, group, or organizaton that has given meaningful outstanding service at the local/community level. Girl Scout membership is not required. For example, a principal that has welcomed Girl Scouts into the school for troop meetings, a church that allows troops to utilize meeting space, or a local business that allows cookie booths.

APPLICATION DEADLINE DATE:

On-going

Girl Scouts GCNWI Community Awards: Select the award submission type: *

Girl Scout Hero

Girl Scout Enthusiast

Nominee Information

Please note that fields marked * are required. All other fields are optional.

First Name *

Last Name *

Email Address *

Business or Organization Name

Nominee's Qualities and Impact

Please describe how the nominee provided service. Please give examples of how the service impacted the council or local community. Include information on when the service was given.

Remember: Those who review the nominations may not know the nominee and/or the great accomplishments (s)he has given to Girl Scouts. This is your opportunity to let everyone know! *

0/1000 words

Nominator's Information

First Name *

Middle Initial

Last Name *

E-mail Address: *

Confirm E-mail Address: *

Submission

Please know that by completing this online form, you are directly providing and sharing all your data, including personal data with a third party service provider who Girl Scouts of Greater Chicago and Northwest Indiana, Inc. ("GSGCNWI") is working with to process this form. The third party service provider wil share your data with GSGCNWI to use and process in connection with your application. By your acceptance below, you acknowledge and agree to hold GSGCNWI harmless from any claims arising from actions or omissions by the third party provider related in any way to the data provided by you. Further, by your acceptance below, you understand, acknowledge and agree that GSGCNWI may share and use the data provided by you in accordance with GSGCNWI's Privacy Policy.

You understand and agree that you have read the provisions on this page, including the permissions. By signing below, you understand that you are providing a binding electronic signature, that communications regarding your agreement with us will be sent by email to the address you have provided.

Signature of Nominator (Type your name) *

Today's Date (MM/DD/YYYY) * +