Thanks Badge Pin Nomination Application Form

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The Thanks Badge honors a registered adult Girl Scout whose ongoing commitment, leadership and service have had
an exceptional and measurable impact on meeting the mission-delivery goals and priorities of the council or the Girl
Scout Movement. Accumulative years of service are considered for this award. A nomination application and one
endorsement questionnaire is required. Nominations are accepted year-round and are reviewed by the committee
twice yearly.
Award Requirements:
The candidate is an active, registered adult Girl Scout.
The candidate abides by GSUSA and River Valleys’ policies, standards and procedures.
The outstanding service performed by the candidate resulted in outcomes that benefitted the council or the
entire Girl Scout organization and are significantly above and beyond position requirements.
The candidate actively recognizes, understands and practices the values of inclusive behavior.
Nomination Instructions:
Coordinate the completion of the required application and endorsement questionnaire. These can be
submitted by the same person or by different people as long as the nominator/endorser is familiar with the
candidate’s volunteer service. Note that if the candidate is approved for an award, s/he will receive a copy of
the endorsement questionnaire.
River Valleys’ provides a PDF endorsement questionnaire to make the process easier. Please visit
to find the appropriate endorsement questionnaire.
Submit completed nomination application with completed endorsement questionnaire year-round. The
nominations will be reviewed on January 31 and June 30.
Additional photos or video of the work this volunteer is being nominated for are optional but welcomed and
Incomplete endorsement and/or application may result in disqualification of the nomination.
Please do not use staples if submitting hard copies.
Award frequently asked questions (FAQ), Award descriptions and endorsement letter questionnaires are
available at
Candidate Information:
Name: _________________________________________________________ Service Unit: ______________________________
Describe volunteer role relevant to nomination: ______________________________________________________________
Complete address: _______________________________________________________________________________________
Phone: ____________________________ Email: ________________________________________________________________
Service Center:
Brooklyn Center
Redwood Falls
St. Paul
Nominator Information:
Name: _________________________________________________________ Service Unit: ______________________________
Complete address: _______________________________________________________________________________________
Day Phone: ______________________________________ Alternative phone: _______________________________________
Email: ___________________________________________________________________________________________________
2014-2015 Forms (page 1 of 2)


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