2015 NOMINATION DISTRICT AWARD OF MERIT

2015 NOMINATION
DISTRICT AWARD OF MERIT
This completed form must be sent by April 30, 2015, to:
Bruce Drake, Scout Executive
Award of Merit Selection Committee
1207 Upas Street
San Diego CA 92103
[email protected]
Mission District’s Recognition Dinner will be held at 6:30 PM
May 14, 2015
San Diego East Stake Center
4195 Camino Del Rio South, San Diego CA
District Award of Merit
The Award of Merit is the highest award a District can offer an adult Scouter. To qualify for the award,
the Scouter must have given outstanding service to youth through Scouting at the District Level.
Normally, the award is presented for service to youth in excess of five years. The nominee must be a
currently registered adult leader in the San Diego- Imperial Council and should have rendered some
service outside the requirements of the registered position in a unit.
Keep in mind that the Selection Committee must make their selections based only on the information
contained on the nomination form. It is important that the nominator take the time to put together a
detailed history of the individual’s service to Scouting, their community involvement, and service to
youth outside Scouting. It is nice to surprise the candidate with an award but, if necessary, obtain the
information from the candidates themselves or someone close to them.
Please Note: It is expected that the nominator and the recipient would attend Mission District’s
Recognition Dinner. Submit your reservations at the same time as the nomination.
Please type or neatly handwrite the nomination form. Use additional pages as needed.
MISSION DISTRICT
NOMINATION FOR THE DISTRICT AWARD OF MERIT
Please type or print legibly:
Please consider the following registered adult Scouter for the Mission District Award of Merit:
Name: _______________________________ (Nominee’s name as preferred on the certificate)
Address: _______________________________ City: ________________ Zip: _____________
Home Phone: (____)__________________ Email: ___________________________________
Currently registered in Scouting as (position): ________________________________________
In:
____Pack ____Troop ____Team ____Crew ____Post
Number _________
The nominee has earned the following (provide dates):
_________ Den Leader Training Award
or Den Leader Award
_________ Den Leader Coach Training Award
or Den Leader Coach Award
_________ Cubmaster Award
_________ Cub Scouter Award
_________ Webelos Den Leader Award
_________ Scouter’s Training Award
Other (Specify)
_________ Other (Specify)
_________ Scouter’s Key
_________ Scouter’s Religious Award
_________ Silver Beaver
_________ Order of the Arrow
_________ Wood Badge
_________ Venturing Awards
_________ Distinguished Commissioner
Service Award
_________ Other (Specify)
__ Other (Specify)
Please list the nominee’s total scouting record beginning with the present/most recent and
working back. (Attach additional sheets if necessary.)
___________________________________________________________________________
From
To
District or
Position
(Mo/Yr)
(Mo/Yr)
Unit No.
City
State
NOTE: Selection is based solely on the information contained in this form. Be as complete and
as specific as possible. Use more paper if necessary.
1. Outside of Scouting Activities: A statement covering the nominee’s standing in the community,
citing civic activities in which the individual is most active in business, professional, civic, religious,
education, fraternal, veteran, rural and other fields exclusively outside of scouting:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
____________________________________________________________________________
2. Service to Youth in Scouting: Record of noteworthy service of exceptional character to youth in this
and other councils.
_________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
___________________________________________________________________________
____________________________________________________________________________
___________________________________________________________________________
____________________________________________________________________________
3. Name of Spouse (if applicable): _______________________________________________
Nominated by: _____________________________
Date submitted: ________________
Scouting Position (if any): _____________________
Telephone: ___________________
Street Address: _____________________________
City: ________________________
Email: ___________________________________
State: _________ Zip: _________
DO NOT WRITE BELOW THIS LINE
Committee Chair: _________________________________
Committee Member: _______________________________
Committee Member: _______________________________
District Executive: _________________________________