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Board-Approved Nomination Form

  • Submit nomination and letters of endorsement by February 1 or mail them to:
    Recognition Task Force
    Girl Scouts Carolinas Peaks to Piedmont
    8818 W. Market Street
    Colfax, NC 27235

  • Nominee Information:



  • Please review these award descriptions and choose the appropriate one for your nominee:


    *Letters of Endorsement must be completed by someone other than the nominator.

  • Please answer the following questions.



  • Nominator’s Information:


  • Deadline for nominations to be presented to this year’s review Task Force is February 1. All endorsements must be attached.

  • Membership Services Department Report: