SILVER BEAVER AWARD NOMINATION

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SILVER BEAVER AWARD NOMINATION THE NORTH FLORIDA COUNCIL REGION: SOUTHERN BOY SCOUTS OF AMERICA COUNCIL NO: 087 The Boy Scouts of America, acting through the National Court of Honor, may award the Silver Beaver Award for distinguished service to youth. The award is made for noteworthy service of exceptional character to youth by registered Scout Volunteers within the territory under the jurisdiction of the North Florida Council, BSA. Nominees are considered based on their noteworthy service to youth, service to Scouting and Service to their community, business, professional, educational, fraternal, veteran, rural, religious, civic organizations exclusive of the Scouting. This form MUST be used and requires that you furnish the information on the form in a brief and concise manner. Provide full name and current position of the person recommended for nomination, avoid the use of nicknames on the form. A one-page typed narrative may accompany this form to provide additional information in support of the nominee. Please keep this to one page typed only. Please keep in mind - This is a nomination - Do not inform the nominee that they have been nominated. While all nominees are considered for the award, the North Florida Council, BSA is limited by National Policy as to how many awards it may present. Once the North Florida Council, BSA, recommends a nominee for the award, final approval of the award is with the National Court of Honor, BSA. Accepted nominees will not be notified until the National Court of Honor has approved their nomination. UTHE DEADLINE DATE FOR RECEIPT OF SUBMISSION IS NOVEMBER 30, 2018 This nomination form must be sent to: North Florida Council, BSA Attn: Silver Beaver Committee 521 S. Edgewood Ave Jacksonville, FL 32205 Person Making Nomination Information: Name: Phone number: Email: Address: City: State: Zip:

The Silver Beaver Award Nomination Form The Silver Beaver Award was introduced in 1931 and is a council level distinguished service award of the Boy Scouts of America. Recipients of this award are registered Scouters who have made an impact on the lives of youth through service given to the council. To prevent embarrassment, the candidate should not be notified of this nomination. This nomination form must be sent to the local council. Name Spouse s name Home address City State Zip code Country Home phone Mobile phone Company name Professional title Scouting position Unit type and No. District name The nominee is registered in Scouting as and holds a membership certificate expiring. (If Scouter is currently unit connected, give unit number: ) If the award is granted, we plan to present it on (This date is required, as it is recorded on the certificate.) I confirm that the nominee lives by the principles of the Scout Oath and Scout Law in word and deed, and is exemplary in his/her personal, family, and professional activities. Confirmation by person submitting nomination: (Printed name) Scouting position (Signature) Home phone Mobile phone Email Silver Beaver Award committee chair signature Scout executive signature

RECORD OF SERVICE IN THE BOY SCOUTS OF AMERICA Please list registered adult positions in the Boy Scouts of America with dates listed chronologically. Indicate unit number, chartered organization, and district where appropriate. Position Unit No. District Council From To Total Years Chartered organization representative Committee chair Committee member Cubmaster Assistant Cubmaster Tiger Cub Coach Den leader Assistant den leader Webelos den leader Assistant Webelos den leader Scoutmaster Assistant Scoutmaster Crew Advisor Assistant crew Advisor Varsity Coach Assistant Varsity Coach Skipper Mate District chair District vice chair District committee member District commissioner Assistant district commissioner Unit commissioner Cub Scout roundtable commissioner Cub Scout roundtable staff Boy Scout roundtable commissioner Boy Scout roundtable staff Merit badge counselor Order of the Arrow chapter advisor Venturing roundtable commissioner Council board chair Council commissioner Assistant council commissioner Council board of directors member Council committee chair Council committee member Member at large Honorary life member Total number of years as a registered adult volunteer:

TRAINING COURSES Please indicate which training courses the nominee participated in and/or staffed with year completed. Training Courses Participant Staff/Faculty Florida Sea Base Conference Kodiak or Kodiak X National Youth Leadership Training (NYLT) National Advanced Youth Leadership Experience (NAYLE) National Camping School National Junior Leader Instructor Camp (NJLIC) Philmont Leadership Challenge Philmont Training Center Conference Powder Horn Seabadge Wood Badge Other BSA Training Courses Staff/Faculty SCOUTING RECOGNITION Scouting Honors Type Year Type Year Type Year Eagle Scout National Eagle Scout Association Distinguished Eagle Scout Scouter s Key Scouter s Training Award Arrow of Light Order of the Arrow member Order of the Arrow Vigil Honor Arrowhead Honor God and Country God and Service Silver Award Unit Leader Award of Merit Scoutmaster Award of Merit District Award of Merit Whitney M. Young Jr. Service Award Distinguished Commissioner Service Award James E. West Society Fellowship Award Other Scouting Awards Type Year Type Year Type Year

NOTEWORTHY SERVICE OF EXCEPTIONAL CHARACTER TO YOUTH OUTSIDE OF SCOUTING Please list organization, position held, recognition received and year(s) involved or awarded. Organization Position/Recognition Year(s) Additional noteworthy comments on service of character to youth outside of Scouting: 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 Positions Held Years Served Accomplishments

INSTRUCTIONS 1. Give the full name and titles (if any) of the nominee exactly as you want them to appear on the certificate. 2. Furnish as much information as possible for each section. 3. Long established policy limits the award of the Silver Beaver to adults 21 and older who are registered with the Boy Scouts of America as volunteer Scouters. Explorer leaders are eligible to be awarded the William H. Spurgeon III Award. 4. Nominations will not be considered for current or former professional Scouters within five (5) years of their leaving employment with the BSA. Other council employees (part time or full time) are eligible to receive the Silver Beaver Award based on their volunteer service, not employed service. 5. Nominations cannot be considered for posthumous awards. 6. Order Silver Beaver insignia using the regular Supply order form from the Supply Group distribution center. RULES AND REGULATIONS of the BOY SCOUTS OF AMERICA Article X, Section 6, Clause 3 Silver Beaver Award The Boy Scouts of America, acting through the National Court of Honor, may award the Silver Beaver for distinguished service to youth upon the following basis and procedure: a) Each local council may process their own annual allotment of Silver Beaver awards and shall send a list of Silver Beaver recipients presented each calendar year to the National Court of Honor no later than January 31 of the following year. b) The award is made for noteworthy service of exceptional character to youth by registered Scouters, Cub Scouters, Varsity Scouters, and Venturing leaders within the territory under the jurisdiction of a local council. c) As evidence of the award there shall be presented: a suitable certificate, duly authenticated by the Boy Scouts of America, pursuant to the action of the National Court of Honor; and a miniature Silver Beaver suspended by a blue, white, and blue ribbon to be worn around the neck. d) It shall be a general policy that no public announcements shall be made by the local council in advance of action by the National Court of Honor with reference to names presented for consideration. e) These awards shall be made to the recipients by the local council concerned in connection with its annual meeting or other public location. f) Each duly chartered local council shall be entitled to one nomination. Councils having more than 60 units shall be entitled to further nominations on the basis of one for each additional 60 units or fraction thereof in their territory, as of December 31 preceding the nomination, according to the records of the national office. g) Councils not using their full allotment in any year may accumulate the unused portion for use in any subsequent year. h) In extraordinary cases, the Silver Beaver Award may be made by the National Court of Honor to a Scouter upon the recommendation of the duly constituted Scouting authorities having supervision of one or more units of the Boy Scouts of America, located outside of the United States and not under the jurisdiction of a local council.

TIPS TO HELP YOU SUBMIT AN OUTSTANDING SILVER BEAVER OR AWARD OF MERIT NOMINATION Thank you for taking the time to suggest a fellow Scouter for one of BSA s peer selected service awards. Without input from dedicated Scouters such as you, many worthy volunteers would not be recognized for service to youth who reside within our geographical boundaries. The selection committee is anxious to give serious consideration to your nominee. Listed below are a few pointers. Do your best to utilize as many of these suggestions as possible to help your nominee's chances. But above all, submit an application so your nominee can be considered for this award. 1. Read the directions on the nomination form and these suggestions carefully. 2. Nominations by spouses or family members are discouraged. 3. The volunteer selection committee is extremely interested in the following: a. What has this individual accomplished in his Scouting position, especially those activities above and beyond the basic job description? How has this person helped guarantee a quality Scouting program in the district or North Florida Council? Specific examples, facts and details which illustrate why you feel this nominee is worthy of consideration will be important. b. Has this individual served the community, especially the youth of the community, outside the Scouting program? Please provide specifics. c. A list of noteworthy service, recognitions and awards from professional service clubs, religious organizations, fraternal organizations, school groups, sports associations and/or other non- Scouting organizations will be helpful. Mere membership in an organization is not significant. d. Has this Scouter served a unit, district and/or the council for an extended period of time? If not, has this person served an extremely large number of youth in Scouting and the community over a short period of time? e. How has this Scouter been recognized by his unit or district for service to Scouts? 4. Contact the North Florida Council registrar to request a copy of the Scouter s registration and recognition record. This information will help you complete the portions of the nomination form requesting positions held, years served, training and BSA recognitions. 5. Be creative in obtaining the information needed to complete the nomination form, especially if you feel the council record may not include all the information you need. Talk to the nominee s spouse or other family member, volunteers in the nominee s unit or district, or people involved in other organizations where the individual has served. 6. If information isn t easily available, suggest that unit/district leaders request Scouting resumes for all adults in the unit or on the district committee. Resumes can be helpful when nominating Scouters for district, council and other awards and can also help units and districts identify which individuals best fit various volunteer positions. 7. If you are unable to provide enough information through the nomination form you may attach a ONE page factual description of the nominee s noteworthy service. Remember, you know your nominee well but the volunteers on the selection committee may not. Be as specific as you can about significant projects and service. 8. Recommendation letters from other individuals do not aid your nomination and should not be attached. If other Registered Scouters have a different perspective and more detailed information about how this individual has gone above and beyond the description of his registered position, or how this person has made a positive impact on youth in the Scouting program and/or in the community, please ask that Scouter to submit a separate and unique nomination form.