Old Sycamore District Awards Nominations 2019
Please use this form to submit nominations for Scouters in the Old Sycamore District worthy of recognition. This is due by December 15, 2019! If you have questions about the Nomination process, please contact Jim Zwiebel, Old Sycamore Advancement Chair, at 419-645-4869 or at cjzweb@bright.net. For technical difficulties, please contact Brian Botti at 567-259-6201 or at brian.botti@scouting.org.

This is due by December 15, 2019! You can conveniently drop off a paper copy of this form at Roundtable. Roundtable meetings ordinarily occur on the second Tuesday of the month at St John Lutheran "Purple Door" Church, 7pm at 1100 N Main St, Celina, OH.

Note:  Once you hit "submit", a confirmation message should appear.  If it does not appear, the message did not send.

This is due by December 15, 2019!
Sign in to Google to save your progress. Learn more
Award *
Nominee's name: *
Nominee's current address:
Nominee's unit(s) (pack, troop, crew, and/or ship), past and present: *
Nominee's position(s) in Scouting, past and present: *
What previous awards has nominee received or earned?: *
Nominee's record of service in Scouting: *
Nominee's community service beyond Scouting:
How can we reach your nominee? Please provide phone number and email: *
Tentative presenter(s) for nominee's award?:                    ******************************************************* If you cannot think of someone good for the job, please write "Unsure" in answer section. Presenter(s) must be present at District Dinner on Sunday, January 12, 2020 at St Joseph's Catholic Church in Wapakoneta. *
Your name: *
Your email and preferred phone number: *
Your relationship to the nominee: *
Would you consider being an emcee at our District Dinner on Sunday, January 12, 2020 at St Joseph's Catholic Church in Wapakoneta?:
Clear selection
Feedback on this form:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of John Carroll University. Report Abuse
Google Forms