Council Award Endorsement Form
Save & Return Account (optional)
New Users / Returning Users
to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish. The account you establish is only for this form.
Chris Arkley Significant Impact Award
Circle of Empowerment Award
Dennis Chew Outstanding Fundraiser Award
Eleanor L. Thomas Exemplary Leadership Award
Maud Whalen Continued Exceptional Service Award
Outdoor Trailblazer Award
Phyllis Jones Amistad Award
Ruth Robertson Commitment to Excellence Award
Thanks Badge II
Name of Nominee:
Please elaborate on your reasons for endorsing this nomination. Make sure to include how the candidate met the
, their specific accomplishments, and any other comments that might be helpful.
Name of endorser completing this form:
How you know the nominee:
Please list the names and contact information for the other individuals signing this letter of endorsement. Check the
for the number of required signatures for this award.
Electronic Signature By typing my name on this form, I am entering my "electronic signature" (as defined in The California Uniform Electronic Transactions Act 1633.1 - 1633.17) and certifying that I have read, fully understand and accept all terms of this agreement.
Published February 24th, 2017. Updated 2/6/19
* Please Note: Once you submit this form, you'll have the option to print the form contents on the following page.
Girl Scouting builds girls of courage, confidence and character that make the world a better place. 2014 Girl Scouts of Northern California