2023 Volunteer Award Nomination Form

Ready to nominate?

Do you have all nominee information and supportive information ready? If so, please continue.

Your contact information
Nominee's contact information
Names and emails of additional nominators
Specific examples of the volunteer's efforts
OPTIONAL: Additional documents to share with the potential awardee (i.e. letters from the girls, drawings, parent letters, pictures, etc.)

How does this form work?

This form is designed to collect are nomination information from multiple individuals in a streamlined process. One individual will start the nomination and then additional contributions can be completed.

The first nominator will start the nomination form with the nominee's information, their personal nomination, and the contact information of additional contributors.
Once submitted, two actions will occur:
1. The initial nominator will receive a confirmation email with a link to edit the form. The link can be copied and shared with additional nominators.
2. Anyone listed as an additional nominator in the initial submission will receive an email to update the nomination form with an edit link.
Additional nominators will follow the link and add their own details to the nomination. Be sure to not overwrite someone else's submission,
All nominators have until February 14 to add, edit, and complete the nomination.

Name*

First NameLast Name

Email*

example@example.com

Role(s) in Girl Scouts*

Service Unit Number and Name*

Troop Number

Membership Support Manager*

Is this a Trefoil Award nomination? If so, please list the names and emails of all individuals on the team:

Anticipated Award*

I understand that one additional individual will need to contribute to this nomination to complete the nomination. I will add their name and email to the additional nominator sections below.*

YES

I understand that two additional individuals will need to contribute to this nomination to complete the nomination. I will add their names and emails to the additional nominator sections below.*

YES

I understand that three additional individuals will need to contribute to this nomination to complete the nomination. I will add their names and emails to the additional nominator sections below.*

YES

I understand that four additional individuals will need to contribute to this nomination to complete the nomination. I will add their names and emails to the additional nominator sections below.*

YES

Select all awards that the nominee has already received.*

Is the nominee a first or second year volunteer?*

YESNO

Is the nominee a male volunteer?*

YESNO

Has the nominee been an active volunteer for more than 20 years?*

YESNO

Please select the specific groups benefiting from volunteer service (select all that apply)*

GirlsAdultsCommunity

What is the geographical impact from the volunteer's service?*

A single troopOne geographical areaTwo or more geographical areasThe NYPENN council as a whole

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Role in Girl Scouts*

Service Unit (Number and Name)*

In order to ensure all nominations are completed, we will send text reminders for incomplete nominations. To opt into this reminder system, please include your cell phone number.

Area CodePhone Number

Describe the service and accomplishments for which the volunteer deserves recognition.*

Describe the impact as a result of these actions. Please be sure to use data and examples. *

Describe how the nominee actively recognizes, understands, and practices the values of inclusive behavior. *

Explain in detail how the nominee exceeds the expectations of the volunteer role. Please use specific examples of how the continuously provide exemplary service to Girl Scouts of NYPENN Pathways. *

Name*

First NameLast Name

Email*

example@example.com

Phone Number

Area CodePhone Number

Role in Girl Scouts

Service Unit (Number and Name)

Describe the service and accomplishments for which the volunteer deserves recognition.

Describe the impact as a result of these actions. Please be sure to use data and examples.

Describe how the nominee actively recognizes, understands, and practices the values of inclusive behavior.

Explain in detail how the nominee exceeds the expectations of the volunteer role. Please use specific examples of how the continuously provide exemplary service to Girl Scouts of NYPENN Pathways.

Name*

First NameLast Name

Email*

example@example.com

Phone Number

Area CodePhone Number

Role in Girl Scouts

Service Unit (Number and Name)

Describe the service and accomplishments for which the volunteer deserves recognition.

Describe the impact as a result of these actions. Please be sure to use data and examples.

Describe how the nominee actively recognizes, understands, and practices the values of inclusive behavior.

Explain in detail how the nominee exceeds the expectations of the volunteer role. Please use specific examples of how the continuously provide exemplary service to Girl Scouts of NYPENN Pathways.

Name*

First NameLast Name

Email*

example@example.com

Phone Number

Area CodePhone Number

Role in Girl Scouts

Service Unit (Number and Name)

Describe the impact as a result of these actions. Please be sure to use data and examples. *

Describe the service and accomplishments for which the volunteer deserves recognition.

Describe the impact as a result of these actions. Please be sure to use data and examples.

Describe how the nominee actively recognizes, understands, and practices the values of inclusive behavior.

Explain in detail how the nominee exceeds the expectations of the volunteer role. Please use specific examples of how the continuously provide exemplary service to Girl Scouts of NYPENN Pathways.

Describe how the nominee actively recognizes, understands, and practices the values of inclusive behavior. *

Name*

First NameLast Name

Email*

example@example.com

Phone Number

Area CodePhone Number

Role in Girl Scouts

Service Unit (Number and Name)

Describe the service and accomplishments for which the volunteer deserves recognition.

Describe the impact as a result of these actions. Please be sure to use data and examples.

Describe how the nominee actively recognizes, understands, and practices the values of inclusive behavior.

Explain in detail how the nominee exceeds the expectations of the volunteer role. Please use specific examples of how the continuously provide exemplary service to Girl Scouts of NYPENN Pathways.

Are there any documents that you would like to have included with the nominee's award folder? Some potential examples include letters from the girls or parents, drawings, or troop pictures. These are not required, but are a great way to show an extra thank you to the volunteer!

Browse Files

Volunteer Award Nomination Form

Nominee's Contact Information

Award Selection

Nominator #1 - Contact Information

Nominator #1 - Nomination Information

Nominator #2 - Contact Information

Nominator #2 - Nomination Information

Nominator #3 - Contact Information

Nominator #3 - Nomination Information

Nominator #4 - Contact Information

Nominator #4 - Nomination Information

Nominator #5 - Contact Information

Nominator #5 - Nomination Information