Unit Leader Award of Merit Nomination Form
Submit to your local council service center.
Nominee’s name as it is to appear on the certificate: _____________________________________________________________
Address ____________________________________________________________________________________________________
City ___________________________________________________________ State ______________Zip_____________________
Select one:
Cubmaster
Pack No. ________
Chartered organization __________________________________________
Scoutmaster
Troop No. ________
Chartered organization __________________________________________
Coach
Team No. ________
Chartered organization __________________________________________
Advisor
Crew No. ________
Chartered organization __________________________________________
Service
Inclusive dates for the service in the above-selected position (include month and year; must be at least 18 continuous
months of service in this position).
From _______________________ to ___________________________
Number months of service _______________________
Training
Date nominee completed training requirements for this position (month and year) ____________________________________
Unit Program Plan
Yes, this nominee’s unit has an annual unit program plan and calendar, and it is shared with all families in the unit.
Unit committee chair initial ________________
Succession Plan
Yes, the unit has a replacement recruited and committed to take over the nominee’s position as unit leader
if necessary.
Replacement’s name ________________________________________________ Unit committee chair initial ____________
Advancement
Yes, at least 60 percent of the members of the nominee’s unit have advanced at least once during the past 12 months.
Unit committee chair initial ________________
Chartered Organization Relationship
Yes, this nominee has a good relationship with the chartered organization.
Unit committee chair initial _________________
Community Image
Yes, this nominee has a positive image in our community.
Unit committee chair initial _________________
Please attach a statement by the unit committee chair on behalf of the unit committee attesting to the nominee’s
performance as unit leader. For Scoutmaster nominations, also attach a statement by the troop’s senior patrol leader.
For Varsity Scout Coach nominations, also attach a statement by the team captain. For crew Advisor nominations, also
attach a statement by the crew president.
Nominated by _________________________________________ Certified by __________________________________________
Unit Committee Chair
Unit or District Commissioner
Date of nomination _____________________________________
Approved by ____________________________ Date __________ and ____________________________ Date ____________
Scout Executive
Council Commissioner or President