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Rockland District - Award Nomination Form
Note: Nominations for the District Award of Merit must be submitted using the form from the BSA National site https://filestore.scouting.org/filestore/pdf/33720.pdf, Following completion of the form, please send it to Dinner Awards chair Don Schreeck at dons723@yahoo.com.
To recognize years of service for adult leaders, the National Veterans Award form must be used for this recognition. Complete this form https://filestore.scouting.org/filestore/membership/pdf/524-701.pdf and email it to GHV.Service@scouting.org.
Adults who meet the requirements for any of the training and leadership National awards should visit the Awards Central web site at
https://www.scouting.org/awards/awards-central/ to download the specific form and when complete, email it to GHV.Service@scouting.org
Award Category
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Please select
Lifetime Achievement Award
Lewis J. Freeman Award
Larrie Goetz Award
Spirit of Scouting Award
Service to Youth Award
District Achievement Award
District Hidden Hero Award
Eric Huss Award
Young Scouter of the Year
Camp Bullowa Paul Bunyan Award
Charter Organization Representative of the Year
Venturing Achievement Award
Scouts BSA Achievement Award
Scoutmaster of the Year
Assistant Scoutmaster of the Year
Troop Committee Chair of the Year
Troop Committee Member of the Year
Cub Scout Achievement Award
Cubmaster of the Year
Assistant Cubmaster of the Year
Webelos Den Leader of the Year
Bear Leader of the Year
Wolf Leader of the Year
Tiger Den Leader of the Year
Lion Den Leader of the Year
Pack Committee Chair of the Year
Pack Committee Member of the Year
Service To Scouting Award
Unit Hidden Hero Award
Nominee Name
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First
Last
Nominee's Unit Type
Crew
District/Council
Pack
Post
Troop
Other
Unit Number
Nominee Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Nominee Phone Number
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Nominee Email
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Number of years as Cub Scout
Number of years as Boy Scout
Number of years as Explorer/Venturer
Number of years as Girl Scout
Number of years as Adult Scouter
Nominee Award History
Recommendation Statement on why this person should receive this Award:
Please provide a paragraph we could use in Presenting the Award, if the person is selected to receive this Award.
Nomination Submitted By
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First
Last
Position in Scouting
Type of Unit
Crew
District/Council
Pack
Post
Troop
Other
Unit Number
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
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Email