Silver Beaver Award Nomination Form

Transcription

1

2 Procedures 1. Review the Silver Beaver Award nomination form. There are three service categories: A) BSA Record of Service B) Service to Youth Outside of Scouting C) Standing in Community 2. Gather records and information for the Nominee in the three service categories. 3. Complete the Nomination Form, summarizing the Nominee s service record. 4. Letters of Recommendation: The Silver Beaver Award Selection Committee will see the names of individuals and organization who submit letters of recommendation. No more than four letters of recommendation will be accepted. They may be from any of the following: Church, Civic/ Community/Fraternal (including but not limited to Scouting), Professional /Trade/Business, and Scouting, Nominator. 5. When the Silver Beaver Nomination packet is complete, please mail it to: Notes Boy Scouts of America South Texas Council Silver Beaver Award Selection Committee 700 Everhart Bldg A Corpus Christi, TX Nominations are reviewed by an all-volunteer Award Selection Committee. Awards are presented at the Annual Council Recognition Dinner. The number of Silver Beaver Awards presented by South Texas Council is limited by National Council policy. When the selection process is complete, the individual who submitted the nomination will be notified if the nominee was selected. Please work to ensure that the nominee is kept unaware of his or her nomination. If the nominee is not selected, the complete packet will be returned to the nominator. It is not uncommon for a nominee to be nominated several times without being selected. Nominators are encouraged to update the packet and resubmit it each year if their candidate is not selected. 2

3 Personal Data In the event the award is granted, the Silver Beaver Certificate will be lettered exactly as seen below. Name Address Address Occupation The Nominee is registered in Scouting as Nominee s BSA membership certificate expiration date / /. If Nominee currently serves in a Unit: circle type, fill in Unit # and Chartered Organization. Pack Troop Team Crew Ship Unit # Chartered by Nomination Submitted By: Name: Address: Address: Phone: (H) (W) 3

4 Record on which this Nomination is Based Please TYPE or PRINT neatly A. Record of Service to the Boy Scouts of America Please list Registered Adult Positions in the Boy Scouts of America, with dates listed chronologically. UNIT POSITIONS Unit Types: Cub Scout Pack Boy Scout Troop Venturing Crew Varsity Team Sea Scout Ship District Council Position Dates Served Unit Type, Number, Chartered Organization District CR CC MC CM CA CA TL DL DA WL WA SM SA NL NA VC VA SK MT Chartered Org. Rep. Committee Chair Committee Member Cubmaster Assistant Cubmaster Assistant Cubmaster Tiger Den Leader Den Leader Assistant Den Leader Webelos Den Leader Asst. Web. Den Leader Scoutmaster Assistant Scoutmaster Crew Advisor Assistant Crew Advisor Varsity Coach Asst. Varsity Coach Skipper Mate DISTRICT POSITIONS COUNCIL POSITIONS Position Dates Served Position Dates Served District Chair District Vice Chair District Committee Member Member at Large District Commissioner Asst. District Commissioner Unit Commissioner CS Roundtable Commissioner CS Roundtable Staff BS Roundtable Commissioner BS Roundtable Staff Merit Badge Counselor OA Chapter Adviser Ven. Rndtbl. Commissioner District VOA Advisor Council Board Chair Council Commissioner Asst. Council Commissioner Council Board Member President s Cabinet Member Member at Large Council Committee Chair Council Committee Member Honorary Life Member OA Lodge Adviser Council VOA Advisor Total number of years as a Registered Adult Volunteer: 4

5 List activities or training events at the district level when Nominee held a chair or staff position. Positions Held Event Dates List activities or training events at the council level when Nominee held a chair or staff position. Positions Held Event Dates Awards or recognition received as an adult volunteer in Cub Scouting, Boy Scouting, or Venturing CUB SCOUTS VENTURING Recognition Date Recognition Date Tiger Cub Den Leader Award Cubmaster Award Cub Scouter Award Den Leader Award Webelos Den Leader Award Venturing Leader Training Award Crew Advisor Award of Merit Envision Award Venturing Leader s Key DISTRICT COMMITTEE Pack Trainer Recognition Date BOY SCOUTS District Committee Key Recognition Date COMMISSIONER SERVICE Scouter s Training Award Recognition Date Scoutmaster s Key Scoutmaster Award of Merit Varsity Scout Leader Training Award Varsity Scout Coach s Key COUNCIL OPERATING COMMITTEE AWARD OF EXCELLENCE Arrowhead Honor Scouter s Key Unit Commissioner Scouter s Key Asst. Dist. Commissioner Scouter s Key District Commissioner Scouter s Key CS RT Commissioner Committee Year(s) Scouter s Key BS RT Commissioner Disting. Commissioner Service Award OTHER Recognition Date Recognition Date District Award of Merit James E. West Fellowship Wood Badge 2 Beads Wood Badge 3 Beads Wood Badge 4 Beads Adult Religious Emblem Denomination: Order of the Arrow Ordeal Order of the Arrow Brotherhood Order of the Arrow Vigil Honor Order of the Arrow Founder s Award 5

6 List any district specific recognition or awards not listed above: List any council specific recognition or awards not listed above: Training Record: Other BSA Recognitions/Achievements: 6

7 B. Noteworthy Service of Exceptional Character to Youth Outside of Scouting Please list organization, position held or recognition received, and year(s) involved/awarded. Organization Position/Recognition Date(s) Additional comments on noteworthy service to youth outside of Scouting: C. Statement of Nominee s Standing in the Community Information covering the Nominee s standing in the Community, citing activities in which he/she is most active: in business, professional, civic, religious, educational, fraternal, veterans, and other non-scouting areas. Organization Position(s) Held Date(s) Served Accomplishments 7