Bsa The Silver Buffalo Award Nomination Form

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The
Silver
Buffalo
Award
The Silver Buffalo Award, created in 1925, is bestowed upon those who give truly noteworthy and extraordinary service to youth. This award,
Scouting’s highest commendation, recognizes the invaluable contributions that outstanding American men and women render to youth. The
service must be national in character and may or may not be directly connected with the BSA. To prevent embarrassment, the candidate should
not be notified of the nomination. Nomination forms with no more than 2 recommendation letters must be submitted together electronically
with this form to the National Council at
no later than August 31 for recognition the following year.
Name ________________________________________ Spouse’s name _____________________________________
Home address ____________________________________________________________________________________
City ________________________________________________ State _____________ Zip code ___________________
Country _______________________ Home phone ___________________ Mobile phone _______________________
Company name ______________________________________ Professional title ______________________________
Business address _________________________________________________________________________________
City _______________________________________________ State ________________ Zip code ________________
Business phone ___________________________ Email __________________________________________________
I confirm that the nominee lives by the principles of the Scout Oath and Scout Law in word and deed, and is exemplary in
his or her personal, family, and professional activities.
Confirmation by person submitting nomination___________________________________________________________
(Printed name)
Date _______________________
__________________________________________________________
(Signature)
Nominator’s contact phone _____________________________ Email _____________________________________
Name and location of nominee’s local council ____________________________________________________________
Scout executive approval _____________________________________________________________________________

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