Pearl Award Nomination Form
Deadline for submission is February 15th of each year.
Instructions:
As the nominator, please complete the nomination form and submit it and the required number of endorsement letters as one packet. As the nominator, you may not also endorse the nominee. Packets will be reviewed upon receipt and you will be contacted if the packet does not contain all the required materials. Packets or material requested to complete the packet is due by February 15th. Please provide a picture of the volunteer in her role if possible.
Nominee Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Current Girl Scout Position and # of Years
1. What precious Girl Scout Positions has the nominee held? Please include dates held.
2. What Girl Scout positions has the nominee held? Please include dates held.
3. Has the nominee attended the appropriate training sessions for positions held?
Yes
No
4. Tell us about the service the nominee rendered and how it was beyond expectations of the position(s) held. BE SPECIFIC, list the impact and results of this person's actions. And remember, staff duties may not be considered.
5. List how this service impacted the Council and the results of this person's actions (include how service helped move Kentucky's Wilderness Road or GSUSA toward their goal and objectives).
6. List other background community roles, and service if relevant.
Nominated by:
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Endorser 1: (Name, Phone, Email)
Endorser 2: (Name, Phone, Email)
Endorser 3: (Name, Phone, Email)
Submit
Should be Empty: