The Girl Scout Council of Greater New York, Inc.

Nomination Form for the Thanks Badge

Please complete this form to nominate a volunteer for the Thanks Badge. The Thanks Badge recognizes an adult whose performance is truly outstanding and benefits the total council or Girl Scout movement. The candidate must be a registered adult Girl Scout and should be 21 years of age or older.
Four (4) letters of endorsement must be submitted along with this nomination. Please use the Letter of Endorsement for Adult Recognition form.
Please refer to the Recognition Booklet for additional information regarding this award.
Please click submit below to send to the Council.
This form is due to the Council on or before December 1.

Nominee's Name * First Last
Nominee's Address (Please put Apt # on Address line 2) *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Nominee's Home Phone Number ### - ### - ####
Nominee's Evening Phone Number if known ### - ### - ####
Nominee's Cell Phone Number if known ### - ### - ####
Nominee's Email address if known
Troop Number
Please enter the borough in which the nominee serves as a volunteer. *
Service Unit *
Other - please explain

If you are not affiliated with a Service Unit, please indicate your affiliation with the Council e.g. Committee or Task Group.
Submitted by:
Name (Person submitting this nomination) * First Last
Address (Please put Apt # on Address Line 2) *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Number * ### - ### - ####
Evening Phone Number ### - ### - ####
Cell Phone Number ### - ### - ####
Email Address
Please enter the borough in which you serve as a volunteer.
Other - please explain

If you are not affiliated with a Service Unit, please indicate your affiliation with the Council e.g. Committee or Task Group.
Four (4) Letters of Endorsement documenting the candidate's service and it's scope and impact to the council must accompany this nomination. One letter can be written by the person submitting this nomination. Please use the Letter of Endorsement for Adult Recognition form. This nomination will not be processed without the required letters.
Important:

By entering my name in the space provided below, I am affirming that the information included in this application is correct. I understand that providing misinformation could result in the nomination not being approved.
Enter Name of person submitting application *
TO BE COMPLETED BY THE RECOGNITION COMMITTEE
Borough Recognition Committee
Please select one of the following:
Endorses this Nomination Does not endorse this Nomination
Signature of Borough Recognition Chair
Date MM / DD / YYYY
Council Recognition Committee
Please select one of the following:
Endorses this Nomination Does not endorse this Nomination
Signature of Council Recognition Chair
Date MM / DD / YYYY
Do Not Fill This Out

The Girl Scout Council of Greater New York, Inc.

Submitted by:

Important:

TO BE COMPLETED BY THE RECOGNITION COMMITTEE