EKLUTNA DISTRICT AWARD OF MERIT
This is the highest Award that a district can bestow on a volunteer Scouter. This special award in presented to only a very few people in the district who have contributed to their unit, the district, in council events, their church and or community.
RECOMMENDED FIVE YEARS OF TENURE AS A REGISTERED SCOUTER.
(This is only a nomination. The District Nomination Committee makes the final selection for the award)
NOTE: THIS APPLICATION MUST REACH THE SCOUT SERVICE CENTER BY CLOSE OF BUSINESS March4th2016
The name of the Scouter: ______Home Phone: ______
Home address: ______
Unit of the Scouter ______please list all position in which the Scouter serves
Total Years in Scouting as a Scouter: ______as a Scout ______
SCOUTING AWARDS;
(Please check the appropriate lines)
Tiger Coach ____| Scout Master Award of Merit ____| Wood Badge ____|
Den Leader Coach ____| Distinguished Commissioner ____| Arrow Head ____|
Den Leader ____| Scouter Training Key ____| Scout Religious ____|
Cub Master ____| Adult Religious ____| Arrow of Light ____|
Cub Scouter ____| James E West ____| Eagle ____|
Training Key ____| Order of the Arrow ____| Scouters Key ____|
List the service to the unit: ______
______
______
______
List the service to the District: ______
______
______
List any events the Scouter may have provided to the Council: ______
______
Why this Scouter should be awarded the District Award of Merit. ______
______
______
______
Eklutna District Award of Merit for 2015 (continued)
Contribution to Business or profession:
(Example: President Alaska Medical Association)
1. ______
2. ______
3. ______
4. ______
Church affiliation:
If active in the church, indicate here in what way: (Past and present service)
(Example: Vestryman, St. Paul’s church
1. ______
2. ______
3. ______
4. ______
Contributions to Fraternal/Veterans/Community/Union Organization:
(Example: Adjutant, American Legion Post 43)
1. ______
2. ______
3. ______
4. ______
Activities in other Youth-serving organization:
Example: Coach, Boys and Girls Club, Baseball.)
1. ______
2. ______
3. ______
4. ______
Scouter training:
1. ______2. ______
3. ______4. ______
5. ______6. ______
I submit the following nomination for distinguished service to youth. It is understood the selection committee cannot work with late nominations or incomplete information. It is farther understood that great care should be used in obtaining any information for the recommendation so that no false hopes might be aroused. All information will be strictly confidential. Do not inform nominee of this nomination. Please be as complete with all information as possible before the submission of the nomination forms. If necessary, use additional pages for narrative on candidate.
Respectful submitted by: ______
Your name Date
Unit Number and Unit Position: ______Phone: ______