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									P.S.A. Awards Committee KD   Short R-3 and Support Form for UNIT   GUIDER AWARD PINS          Feb. 2010         page 1 of 2

Save this blank form as a reusable template. After completing form, save it again BUT ADD district & date as a part of file name
ie: GderAwardShortform –Oceanview-Feb2’10          Then email attach or print and mail to Pacific Shores Area Awards contact.

NOMINATOR:                                           DISTRICT:                          POSITION:                             .
                (name)
I declare that the unit Guider(s) listed has/have met the criteria outlined below for the Unit Guider Award pin in their
category.

2nd Guider’s support (co-Commissioner, Deputy Commissioner; District secretary, treasurer, adviser; District Guider)

I have read the criteria & support the nominator’s request :                             Position                                  .
                                                                        (name)

Date of request:              Potential date/event of presentations:                                     .
________________________________________________________________________________________________________

Note: These Award pins are for appreciation & recognition of service beyond the basic need for adult assistance & supervision
within a Guiding Unit. The years of experience are cumulative and a Unit Guider may receive any or all these Award pins during
her tenure in Guiding
Bronze: 1 to 3 years experience    Silver: 4 to 10 years experience Gold: 11+ years experience as a Unit Guider

Criteria for Unit Guider Award pin:
The Unit Guider Award pin is presented to Unit Guiders who:
  -provide girls with diverse and exciting programs
  -provide opportunities that help girls achieve greatness
  -ensure there are regular bridging opportunities
  -always welcome new Members
  -attend trainings
  -participate in district or communities of Guiding meetings
  -uphold the values of GGC

Awards Committee reviewer:                                                      Date:                                  .
_________________________________________________________________________________________________________
Please complete the following. You may also add a short comment under each -ie. How nominee has met some of the award
criteria listed above.)
Nominee’s name                       Present Unit Name               IMIS #            Cumulative years as a Unit Guider:

1)                                                                                                                                 .




2)                                                                                                                                 .




3)                                                                                                                                 .




4)                                                                                                                                 .




(Use next page if needed )
P.S.A. Awards Committee KD   Short R-3 and Support Form for UNIT   GUIDER AWARD PINS     Feb. 2010        page 2 of 2

Nominee’s name                                 Present Unit Name            IMIS #     Cumulative years as a Unit Guider:

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