Outstanding Volunteer or
Outstanding Leader Nomination

Complete this nomination form and the Letters of Endorsement (for Outstanding Leader only) and click the submit button at the bottom of this page to Email this form to: Recognitions@gseiwi.org. You can also give a copy to your local Recognition Coordinator or mail to:

ATTN: Council Recognition Committee,
Girl Scouts of Eastern Iowa and Western Illinois,
2011 Second Avenue,
Rock Island, IL, 61201.

All nominations and letters must be submitted by March 1. Awards are purchased by the council and awarded at a local event.

Recognition Applied For: (please check appropriate box)

Outstanding Volunteer (No letters needed)
Outstanding Leader (2 Letters of Endorsement)

Candidate Information

** Means manditory information- you must fill in that field.

** Name of Candidate
Troop # Service Unit #
** Street Address (include apt #)
** City
** State ** Zip
Email Address
**Phone (day) **Phone (evening)
Current GSEIWI Position(s):
Name of school candidate associates with:

Nominator Information

** Means manditory information- you must fill in that field.

** Name of Nominator
Service Unit #
** Street Address (include apt #)
** City
** State    ** Zip
Email Address
**Phone (day)    **Phone (evening)
Notification preference on status of this award:
Email      Mail

Area of Focus

To approve this award, there must be details on a specific action, program, event, level of service or volunteer postion.

What area will you focus on for this award?

Letters of Endorsement Information (see criteria in shaded area above)

** If endorser is listed, it is mandatory to provide additional information for fields with **

1. Name of Endorser
** Street Address (include apt #)
** City
** State ** Zip
Email Address
**Phone (day) **Phone (evening)

2. Name of Endorser
** Street Address (include apt #)
** City
** State ** Zip
Email Address
**Phone (day) **Phone (evening)

1. The candidate is an active adult member registered with Girl Scouts of the U.S.A.
2. The candidate has completed appropriate Adult Learning courses for her/his current position.
3. The candidate has no product sales debt.
5. The candidate meets the following criteria:

Outstanding Volunteer-
• Complete appropriate training or demonstrate ability/skills for the position.
• Perform at a level that exceeds the expectations of the position as outlined in the position description agreement in one or more of the following areas:
-- Membership, program, fund development, pluralism, marketing and communications, strategic leadership/governance, human resources.
• Actively recognize, understand, and practice the values of inclusive behavior.
Outstanding Leader-
Demonstrated competence in at least two of the following:
• Involving adults in the community to help broaden the program opportunities for girls.
• Increasing girl membership to support the council membership goal.
• Using the four program goals to select a wide range of program activities with girls.
• Helping girls to recognize, understand, and practice the values of inclusive behavior.
• Building an effective "By Girls, For Girls" approach with girls.

Nominations Process Checklist: All steps must be completed

** Means manditory information- you must fill in that field.

** Fill out the Nomination Form.
** Give a detailed description of how the nominee delivered service according
     to the criteria.** (see 'add your description' box provided below).

       Give examples of the results of the candidate's work. Utilize the following
       questions to create results-oriented nominations.
       1. Why are you nominating this person?
       2. What have they done in the position that demonstrates they are deserving
       of this award?
       3. How has the candidate's service benefited the service unit or girls?
       4. Who has benefited from the candidate's contribution that makes them stand
       out from other volunteers?
       5. How has the candidate's service been outstanding, above and beyond the position?
       (Ask for a Volunteer Position description if necessary.)
       ** 6. Describe the candidate's ability and effectiveness in communicating with girls
       and/or adults.

     ** Add your description here.

Recruit the appropiate number of Letters of Endorsments based on the award critria.
      See letter of endorsement for council recogintions and outstanding leader form.

NOTE: The nomination is not a Letter of Endorsement and the nominator may not submit one of the letters. The Letter of Endorsement form is available in a separate fillable online form.

The Nomination and the accompanying letters should be emailed by March 1.

If you would like to print or save a copy for yourself, you must do so before submitting. Click on the printer icon on the top right of your webpage to print or go to file and save as.

Press the submit button to email your nomination.
Please review your information before submitting.

Outstanding Volunteer or Outstanding Leader Nomination

Recognition Applied For: (please check appropriate box)

Candidate Information

Nominator Information

Area of Focus

Letters of Endorsement Information (see criteria in shaded area above)

Nominations Process Checklist: All steps must be completed

Outstanding Volunteer or
Outstanding Leader Nomination