Service Unit Extraordinary Event Nomination
Instructions:
The Service Unit Event Manager, Service Unit Manager, or volunteer responsible for the event may complete this nomination form. This nomination form will be reviewed upon receipt and you will be contacted if it does not contain all the information needed for review. Deadline for the nomination is February 15th of each year. Please provide pictures of the event if possible.
Criteria:
The Extraordinary Event Award is to recognize excellence in Service Unit programming. The awards look at several event components: Use of the Girl Scout Leadership Experience, use of the National Program Portfolio, impact on the community, impact on girls, use of girl evaluation, partnerships with other community groups, businesses, and individuals, and use of teen Girl Scouts in leadership roles.
Name of person completing nomination form:
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
I understand the criteria for this award:
Yes
Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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Name of Event
Date of Event
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address for Event
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of Girls
Number of Adults
Description of Event:
Were Teen Girl Scouts used in leadership roles?
Yes
No
If yes, please describe their role(s):
Did you use a girl evaluation?
Yes
No
If yes, please summarize their input about the event.
Describe the impact on girls:
Describe the impact on the community:
Back
Next
Girl Scout Leadership Experience and National Program Materials
How was the Girl Scout Leadership Experience used in the program?
How were the National Program materials used?
Please upload photos of the event here!
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