Form 512-501 - Recommendation For The Venturing Leadership Award

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Recommendation for the
Venturing Leadership Award
Council
Area
Region
National
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(Please check level of award)
Candidate Information
Region ________________________________ Area ___________________________________________
Council name ___________________________ Council No. _____________________________________
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Name ______________________________________________________ Check one: Youth
Adult
Street
________________________________________________________________________________
City/state/zip code _______________________________________________________________________
Phone No. ______________________________ Email __________________________________________
Crew/Ship No. __________________________ Tenure (in years) as a Venturer _____________________
Current Venturing position of responsibility ________________________________________________
Chartered organization __________________________________________________________________
School name and grade level _____________________________________________________________
Venturing position(s) recommendation is based on
_______________________________________________________________________________________
_______________________________________________________________________________________
List leadership positions held related to this award level, and explain how these roles relate to this
level of award:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

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