Thanks Badge Pin Nomination Application Form Page 3

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THANKS BADGE ENDORSEMENT QUESTIONNAIRE
 
Nominee/Candidate:
Nominee Name: _________________________________________ Service Unit (if applicable): ________________________
Nominee Address: ________________________________________________________________________________________
Current Position: ___________________________ Describe volunteer role relevant to nomination: ___________________
_________________________________________________________________________________________________________
 
Nominator:
Name: _________________________________________________________ Service Unit: ______________________________
Position: _________________________________________________________________________________________________
Address: _________________________________________________________________________________________________
 
Please describe in detail how the candidate’s ongoing commitment, leadership and service impacted the mission-
delivery goals and priorities of the council or the Girl Scout Movement. A detailed description of the Thanks Badge
criteria can be found at .
Provide as much detail as possible to help the committee understand the exemplary nature of the candidates’ service.
 
1.
Is the candidate a registered Girl Scout member now and throughout the time period when the service was given?
________
2. How did you become aware of the candidate’s accomplishments?
3. Please describe in detail the candidate’s service and leadership over the last four years.

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