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VIGIL HONOR NOMINATION FORM - Tisquantum Lodge

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									VIGIL HONOR NOMINATION FORM

CHAPTER NAME_______________________________
Your candidate is to be judged solely on the basis of the information presented at the Vigil Honor selection meetings.
This form may represent the only source of that information. Carefully research and answer every question completely.
You must provide all of the information indicated by an (*). Year means calendar year. Please include a picture along
with your nomination.

1. NAME_________________________________DATE OF BIRTH_____________________
   ADDRESS______________________ CITY__________________STATE_______ZIP______

   THE NOMINEE IS CURRENTLEY REGISTERED IN UNIT #_______DISTRICT__________________
   COUNCIL____OLD COLONY____AND HOLDS A REGISTRATION CARD EXPIRING______20_____

2. THE NOMINEE WAS INDUCTED INTO THE ORDEAL (MONTH & YEAR) ______________
   BROTHERHOOD (MONTH AND YEAR) ______________

3. WHAT SPECIFIC THINGS HAS THIS NOMINEE DONE TO MAKE THE ORDER OF THE ARROW BETTER
   AND WHAT CAN BE EXPECTED IN THE FUTURE? _______________________________________
   ______________________________________________________________________________
   ______________________________________________________________________________

4. SCOUT ACTIVITIES

AWARD           YR                 AWARD                  YR                 AWARD                     YR
Rank as youth   _____              Other as youth         _____              Religious award           _____
Scouters Key    _____              Scouters Training Award_____              Dist Award of Merit       _____
Silver Beaver   _____              SM Award of Merit      _____              Other                     _____

Other:_______________________________________________________________________________

Comments:___________________________________________________________________________

5. OA LEADERSHIP/ACTIVITIES

CHAPTER LEADERSHIP      # OF YRS          LODGE LEADERSHIP        # OF YRS          ACTIVITIES         # OF YRS
Chief                   ____              Chief                   ____              Lodge Banquet      ____
 st                                        st
1 Vice Chief            ____              1 Vice Chief            ____              Fellowship         ____
 nd                                        nd
2 Vice Chief            ____              2 Vice Chief            ____              NOAC               ____
Secretary               ____              Secretary               ____              NLS                ____
Treasurer               ____              Treasurer               ____              Section Conclave   ____
Advisor                 ____              Adviser                 ____              LLD                ____
Associate Advisor       ____              Associate Advisor       ____              Other__ _____      ____
Other__ _______         ____              Head Elangomat          ____              ____________       ____
______________          ____              Committee               ____              ____________       ____
______________          ____              Other                   ____              ____________       ____

Comments__________________________________________________________________________________

SERVICE PROJECTS (WITH THE LODGE)
TOTAL NUMBER OF SERVICE PROJECTS _______                 ESTIMATED TOTAL HOURS              _______

6. SCOUT LEADERSHIP/ACTIVITIES
UNIT SERVICE       # OF YRS             UNIT SERVICE    # OF YRS                  UNIT SERVICE       # OF YRS
SPL                ____                 Other__ _____   ____                      Scout Master       ____
ASPL               ____                 ____________    ____                      Assistant SM       ____
Instructor         ____                 _______ _____   ____                      Committee          ____
Scribe             ____                 ____________    ____                      Crew Advisor       ____
Troop Guide        ____                 ____________    ____                      Explorer Advisor   ____
Patrol Leader      ____                 ____________    ____                      Other__ _____      ____

COMMENTS:     ____________________________________________________________________________
_______________________________________________________________________________ ___________

DISTRICT SERVICE      # OF YRS   DISTRICT SERVICE    #OF YRS       COUNCIL SERVICE        # OF YRS
Commissioner          ____       Comm. Mem @ LG     ____           President              ____
Roundtable            ____       Comm. Chairman     ____           Commissioner           ____
Asst. District        ____       Comm. Vice Chair   ____           Asst Commissioner      ____
District              ____       Comm. Sub Chair    ____           Vice President         ____
Other__ ____          ____       Other__ ____       ____           Exec. Board            ____
___________           ____       ___________        ____           Member @ Large         ____
___________           ____       ___________        ____           Committee Chair        ____
___________           ____       ___________        ____           Other_________         ____


AREA/REGIONAL/NATIONAL                                  # OF YRS

______________________________________                  _______

TRAINING           # OF YRS             TRAINING        # OF YRS                  TRAINING           # OF YRS
JLT                ____                 Den Chief       ____                      Explorer Leader    ____
Woodbadge          ____                 Cub Leader      ____                      Commissioner       ____
Philmont           ____                 Show and Do     ____                      Scout Leader       ____

Comments _____ ____________________________________________________________________________

SPECIAL ACTIVITIES WHERE LEADERSHIP WAS GIVEN                      POSITION               # OF YRS
Scoutorama                                                         ____________           ____
Camporee Staff                                                     ____________           ____
Summer Camp Staff                                                  ____________           ____
Jamboree Staff                                                     ____________           ____
Woodbadge Staff                                                    ____________           ____
ADP Staff                                                          ____________           ____
NLS Staff                                                          ____________           ____
NLATS Staff                                                        ____________           ____
Other                                                              ____________           ____
 ____________________
|                      |Please include
|                      |a picture of the
|                      |nominee
|                      |
|                      |
|                      |
|                      |
|                      |
|                      |
|____________________ |

								
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