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J:programAwardsSilver Beaver2008 8 SB Nomination Form.doc
Crossroads of America Council - Boy Scouts of America 1900 North Meridian Street * P.O. Box 1966 * Indianapolis, Indiana 46206-1966 Phone: (317) 925-1900 – (877) 925-1900 * Fax: (317) 921-3474 E-mail:
2008 Silver Beaver Award Fact Sheet and Instructions
The Silver Beaver award is presented in recognition of a volunteer’s noteworthy service of exceptional character to youth in our 25 county area. The service may be of a non-Scouting nature. It need not be limited to Scouting activities. The nominee shall be registered currently as a volunteer Scout leader in the Crossroads of America Council and be at least 21 years of age. Nominations will not be considered for former professional Scouters or council employees within 5 years of their leaving any form of employment with the BSA A council committee comprised of current holders of the Silver Beaver Award and representing all districts selects the award recipients. Please observe the following 1. Please member of the committee. 2. BE AS SPECIFIC as you can with name, unit numbers, districts, councils, chartered partners, youth ranks, adult awards and recognition, dates, current registered position, etc. 3. ORGANIZE the narrative to: a. DESCRIBE the Scouting activity as a youth. Do not repeat what has already been reported in the YOUTH MEMBERSHIP section of SCOUT BACKGROUND INFORMATION. b. DESCRIBE the noteworthy service of exceptional character to youth that has been given as an adult to Scouting. Do not repeat what has been reported in ADULT LEADERSHIP AND SERVICE or SPECIAL SCOUTING AWARDS AND RECOGNITION. c. DESCRIBE the noteworthy service of exceptional character that has been given to youth outside of Scouting. REPORT any special recognition that was received from this activity. d. DESCRIBE any non-youth service to church, community, professional societies, etc. REPORT any special recognition that was received from this activity. 4. Do NOT forget to record your name, address and phone number. I N S T R U C T I O N S 1. Be sure to give the FULL NAME AND TITLES (if any) of the nominee just as you want it to appear on the certificate. Please do Henry Bradley; Doctor William Francis Kelly, Captain Arthur Russell John, The Most Reverend Richard Joseph Brown, D.D.; Vice Admiral John Donald Morrison; The Honorable James Kerwood Ross; Ms. Mary Smith, etc.) 2. Furnish as much information as possible for sections A), B), and C). For example, in section B): President, Libertyville Rotary Club; Vestryman, St. Paul Lutheran Church; Chairperson, Red Cross Campaign; Exalted Ruler, Elks Lodge No. 18; Vice President, PTA; Adjutant, American Legion Post 234; Medical Director, Cross County Hospital; Past District Deputy Grand Master, F. & A.M.; Grand Knight, Knights of Columbus Council 161; etc. 3. Long-established policy limits the award of the Silver Beaver to adults over 21 who are registered as volunteer Scouters. 4. Nominations cannot be made for posthumous awards. 5. Council, BSA, PO Box 1966, Indianapolis, IN 46206-1966 or fax to (317) 921-3477. J:programAwardsSilver Beaver2008 8 SB Nomination Form.doc TO: Crossroads of America Council, BSA P.O. Box 1966 Indianapolis, IN 46206-1966 FAX: 921-3477 EMAIL: 2008 Silver Beaver Nomination Form DATE ______________________ This nomination form must be used and requires that the information provided be brief and concise. Please limit the Page 4 narrative to one page. Do not include attachments. Give full name and title of the nominee and avoid the use of nicknames. See additional guidelines on cover page. It is my pleasure to submit this nomination for the award of the Silver Beaver for distinguished service to youth. PERSON BEING NOMINATED NAME: _________________________________________ PHONE NUMBER: (______)_____________________ ADDRESS: ______________________________________ CITY: ______________________ ZIP: ____________ BIRTH DATE (If Known): __________________________ E-mail: ______________________________________ OCCUPATION: __________________________________ DISTRICT: ___________________________________ Registered Scouting position: _______________________ and holds a certificate expiring (date) _________________ PERSON MAKING THE NOMINATION NAME: _____________________________ EMAIL: ______________________________________ ADDRESS: ______________________________________ CITY: ______________________ ZIP: ____________ HOME PHONE NUMBER: (______)__________________ WORK PHONE NUMBER: (______)_______________ SCOUT BACKGROUND INFORMATION I. YOUTH MEMBERSHIP PROGRAM HOW LONG HIGHEST RANK __________________ ___________________________ _____________________________________ __________________ ___________________________ _____________________________________ __________________ ___________________________ _____________________________________ __________________ ___________________________ _____________________________________ II. ADULT LEADERSHIP AND SERVICE UNIT/DISTRICT COUNCIL ELECTED OFFICE/POSITION/SERVICE/ACTIVITY FROM TO __________________ ______________________________________________________ _______ _______ __________________ ______________________________________________________ _______ _______ __________________ ______________________________________________________ _______ _______ __________________ ______________________________________________________ _______ _______ __________________ ______________________________________________________ _______ _______ __________________ ______________________________________________________ _______ _______ __________________ ______________________________________________________ _______ _______ __________________ ______________________________________________________ _______ _______ __________________ ______________________________________________________ _______ _______ __________________ ______________________________________________________ _______ _______ __________________ ______________________________________________________ _______ _______ -1- J:programAwardsSilver Beaver2008 8 SB Nomination Form.doc CROSSROADS OF AMERICA COUNCIL SILVER BEAVER NOMINATION NOMINEE NAME: ________________________________ NOMINATED BY: _____________________________ III. SPECIAL SCOUTING AWARDS AND RECOGNITIONS RECEIVED-(Please indicate year received.) Spurgeon Award ___ District Award of Merit ___ Scouter's Key ___ Adult Religious Award ___ Scouter's Training Award ___ Wood Badge ___ Commissioner Arrow Head ___ ___________________ ___ __________________ ___ __________________ ___ __________________ ___ __________________ ___ __________________ ___ __________________ ___ __________________ ___ Order of the Arrow: Ordeal______ Brotherhood _______ Vigil ________ Firecrafter: XXX _______ Minisino ________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ IV. SCOUTING ACTIVITIES: Describe noteworthy service of exceptional character to Scouts on the unit, district and/or council level: ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ -2- J:programAwardsSilver Beaver2008 8 SB Nomination Form.doc CROSSROADS OF AMERICA COUNCIL SILVER BEAVER NOMINATION NOMINEE NAME: ________________________________ NOMINATED BY: _____________________________ V. ACTIVITIES OUTSIDE SCOUTING: following headings. (Emphasize service to youth and in the community.) A. CHURCH: ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ B. CIVIC/FRATERNAL: ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ C. SERVICE TO YOUTH (other than Scouting): ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ D. PROFESSIONAL OR BUSINESS: ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ E. NON-YOUTH RELATED COMMUNITY ACTIVITIES ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ F. OTHER: ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ -3- J:programAwardsSilver Beaver2008 8 SB Nomination Form.doc CROSSROADS OF AMERICA COUNCIL SILVER BEAVER NOMINATION NOMINEE NAME: ________________________________ NOMINATED BY: _____________________________ NARRATIVE – BE CONCISE - _____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ____________________________________________________________________________________________ Due by September 30, 2007 -4- council@crossroadsbsa.org Website: www.crossroadsbsa.org :print or type. Use BLACK INK because the nomination form has to be copied for eachnot use abbreviations, initials only, or nickname. (For example: RobertDue by September 30, 2007 to Silver Beaver Selection Committee, Crossroads of AmericaSilver Beaver Selection Committeecac@crossroadsbsa.orgDue by September 30, 2007 to Scout OfficeGive resume of service, offices held, honors and recognitions, and length of service under the_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________:______________________________________________________________________________________________________________________________(PRINT OR TYPE) | ||
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