Form 92-103 - Silver Beaver Award Nomination 2008 printable pdf download

SILVER BEAVER AWARD NOMINATION

TO THE NATIONAL COURT OF HONOR

REGION ___________________________

BOY SCOUTS OF AMERICA

COUNCIL NO. _______________________

NATIONAL OFFICE

DATE _____________________________

This nomination must be sent to the national office

30 DAYS

before the award is to be presented.

On behalf of the ________________________________________ Council, we take pleasure in submitting this nomination for

the Silver Beaver Award for distinguished service to youth. (Give full name and titles of Scouter to be honored exactly as you will

want the certificate lettered if the award is granted. See instructions on reverse side.)

Name ____________________________________________________________________________________________

Address __________________________________________________________________________________________

Occupation _______________________________________________________________________________________

The nominee is registered in Scouting as ________________________________ and holds a membership certificate expiring

________________________ 20____. (If Scouter is currently unit-connected, give unit number. __________)

If the award is granted, we plan to present it on ____________________________________________________________ .

(This date is required, as it is recorded on the certificate.)

RECORD UPON WHICH THIS NOMINATION IS BASED

(Give pertinent facts, dates, and offices held. If more space is needed, please add extra sheets.)

a. Record of service in the Boy Scouts of America. (Name chartered organizations in cases where service is unit-connected.)

b. Statement covering the nominee’s standing in the community, citing activities in which the individual is most active

in business, professional, civic, religious, educational, fraternal, veteran, rural, and other fields exclusive of Scouting.

(See instructions on reverse side.)

c. Record of noteworthy service of exceptional character to youth within the territory under the jurisdiction of this council.

____________________________________

Chairman, Silver Beaver Award Committee

Scout Executive

Form 92-103 - Silver Beaver Award Nomination 2008