Thanks Badge Pin Nomination Application Form Page 4
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44. Has this candidate ever been recognized with any award for similar performance? ______
5. If you answered yes to the previous question, how has this person continued to excel since being previously
recognized?
6. Please give examples of how this candidate’s service went above and beyond to impact mission-delivery goals or
council-wide priorities. Use specific measurable examples to support their nomination. When providing
numbers, please give ratios.
7. Over what period of time was the service performed? __________________________________________________
8. Who was affected? For adults, include how many in what roles. For girls, include how many, what grade level/s,
and in which pathway/s.
9. How were they affected? What outcome did the girls/adults experience, or what did they say they
remembered/learned about the experience or activity?
10. How did the candidate demonstrate inclusive behavior?
Additional remarks:
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