Girl Scout Council of Cannon Valley

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S.T.A.R VOLUNTEER AWARD

NOMINATION FORM

Candidate Information

print form

Name:

Service Unit:

Complete Address :

Phone:

Email:

Position(s) in Girl Scouting:

Nominator Information

Name:

Service Unit:

Complete Address :

Phone:

Email:

Recognition Requested


	Community Participation: Recognizes a one-time service to the service unit, council or national organization. Nominator answers questions 1.

	Citizenship in Girl Scouting: Recognizes a second and third consecutive round of service in which the volunteer provides support through two or three short-term assignments for the service unit, council or national organization. Nominator answers questions 1 & 2. (Candidate must have completed the previous step))

	Social Responsibility in Girl Scouting**: Recognizes a fourth round of service and support to the service unit, council or national organization. Nominator answers questions 1-3 and endorser answers question 1. (Candidate must have completed the previous step)

**If this award is approved it will be presented to the recipient at the annual Volunteer Appreciation Party. The information must be completed and received at the Council Service Center by February 15th.

Nomination Process:

The candidate’s supervisor or an individual familiar with the service that was provided completes the nomination form.
Email or Mail one letter of endorsement for the Social Responsibility in Girl Scouting award. Letter should answer question 1 and support nominator’s comments.
The application and letter of endorsement are received at the Council Service Center by February 15th, either by mail (1025 Highway 3 North, Northfield MN 55057) or email (steph@gsccv.org).
Please keep a copy for your records (you may add the additional information for each stage of the award process).

Nominator and Endorser Questions

1. Please describe the services provided for each round of service.

Community Participation:

Citizenship in Girl Scouting:

Social Responsibility in Girl Scouting:

2. In what area was the service/s delivered? Who was affected by the candidate’s service? How?

3. Please describe what the candidate did to merit this award. What makes their service stand out?

Endorser Information

Letter of endorsement from the following individual for the Social Responsibility in Girl Scouting Award is to be emailed to steph@gsccv.org, or mailed to GSCCV at 1025 Hwy 3 North, Northfield MN 55057).

Name	Email - Address

1.

Questions? Please contact Steph at (800) 344-4757 or (507) 645-6603 or email her at steph@gsccv.org.

Thank you!

Girl Scout Council of Cannon Valley
1025 Highway 3 North
Northfield, MN 55057
(507) 645-6603 or (800) 344-4757
secretary@gsccv.org