Recognition - SU Committee report - Girl Scouts€¦ · Service Unit Recognitions Committee Report...
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Service Unit Recognitions Committee Report 10-5-15 Page 1 of 4 The Service Unit Recognition Committee Report is required to purchase 5, 10, and 15 year Membership Numeral Pins, 5, 10, and 15 Years of Service Pins, GSOFCT Helping Hand Pins, GSOFCT Leading the Way Pins, GSOFCT Distinguished Leader Pins, and GSOFCT Distinguished Volunteer Pins. Note: If the latter four pin nominations were submitted via the online recognitions portal, then it is not necessary to note that person on this form. Note: The Service Unit Recognition Committee Report requires a signature from the Service Unit Recognitions Coordinator or designee and the GSOFCT Membership Manager in order to purchase these pins from any Girl Scouts of Connecticut retail shop. Submission/Award Purchase: The local Service Unit Recognitions Coordinator/designee or Council Staff presents a signed copy of this authorized report to a Council retail shop with payment. Questions: Please contact the Volunteer Services Department at [email protected] or 203-239-2922 ext 3347. Service Unit: _________________________________ Membership Year 2015-2016 Today’s Date: _____________________ Date of Presentation (if known): _______________ Service Unit Recognitions Coordinator/designee or Council Staff approving recognition: ___________________________ _________________________________ ___________________ Date Approved: ___________ PRINT NAME SIGNATURE POSITION Membership Manager authorizing award purchase: ____________________________ _________________________________ Date Authorized: _________ PRINT NAME SIGNATURE List below the number of pins requested from the council shop. Please print individual names on page(s) 2-4 of this committee report. MEMBERSHIP NUMERAL PIN (girl and adult years combined) YEARS OF SERVICE PIN (adult years) ______5-year _______10-year _______15-year ______5-year _______10-year _______15-year ______ GSOFCT HELPING HAND PIN ______ GSOFCT LEADING THE WAY PIN ______ GSOFCT DISTINGUISHED LEADER PIN ______ GSOFCT DISTINGUISHED VOLUNTEER PIN Pricing* for 2015-2016 Membership Year: Membership Numeral Pin - $3.00 Years of Service Pin - $5.50 GSOFCT Helping Hand Pin - $4.00 GSOFCT Leading the Way Pin- $4.00 GSOFCT Distinguished Leader Pin - $5.00 GSOFCT Distinguished Volunteer Pin -$5.00 *Pricing may be subject to chang e. Service Unit Recognitions Committee Report 20 Washington Avenue, North Haven, CT 06473 (800) 922-2770 203-239-2922 203-239-7220 (Fax) www.gsofct.org Office Use Only: Council Shop Service Center: ________________________________________________________________________________ Council Shop Staff Signature: _________________________________________ Date Purchased: _______________________ Volunteer Services Date Received: __________________________________ ADULT RECOGNITIONS If you wish to have these recognition pins mailed to your home, visit http://shop.gsofct.org/store for a listing of shipping and handling fees and send this form and payment in full (including shipping and handling) to: Girl Scouts of Connecticut Retail Shop 20 Washington Avenue North Haven, CT 06473
Transcript of Recognition - SU Committee report - Girl Scouts€¦ · Service Unit Recognitions Committee Report...
Service Unit Recognitions Committee Report 10-5-15 Page 1 of 4
The Service Unit Recognition Committee Report is required to purchase 5, 10, and 15 year Membership Numeral Pins, 5, 10, and 15 Years of Service Pins, GSOFCT Helping Hand Pins, GSOFCT Leading the Way Pins, GSOFCT Distinguished Leader Pins, and GSOFCT Distinguished Volunteer Pins. Note: If the latter four pin nominations were submitted via the online recognitions portal, then it is not necessary to note that person on this form. Note: The Service Unit Recognition Committee Report requires a signature from the Service Unit Recognitions Coordinator or designee and the GSOFCT Membership Manager in order to purchase these pins from any Girl Scouts of Connecticut retail shop. Submission/Award Purchase: The local Service Unit Recognitions Coordinator/designee or Council Staff presents a signed copy of this authorized report to a Council retail shop with payment. Questions: Please contact the Volunteer Services Department at [email protected] or 203-239-2922 ext 3347. Service Unit: _________________________________ Membership Year 2015-2016 Today’s Date: _____________________ Date of Presentation (if known): _______________ Service Unit Recognitions Coordinator/designee or Council Staff approving recognition: ___________________________ _________________________________ ___________________ Date Approved: ___________ PRINT NAME SIGNATURE POSITION Membership Manager authorizing award purchase: ____________________________ _________________________________ Date Authorized: _________ PRINT NAME SIGNATURE
List below the number of pins requested from the council shop. Please print individual names on page(s) 2-4 of this committee report.
MEMBERSHIP NUMERAL PIN (girl and adult years combined) YEARS OF SERVICE PIN (adult years)
______5-year
_______10-year
_______15-year
______5-year
_______10-year
_______15-year ______ GSOFCT HELPING HAND PIN ______ GSOFCT LEADING THE WAY PIN
______ GSOFCT DISTINGUISHED LEADER PIN ______ GSOFCT DISTINGUISHED VOLUNTEER PIN
Pricing* for 2015-2016 Membership Year:
Membership Numeral Pin - $3.00 Years of Service Pin - $5.50 GSOFCT Helping Hand Pin - $4.00 GSOFCT Leading the Way Pin- $4.00 GSOFCT Distinguished Leader Pin - $5.00 GSOFCT Distinguished Volunteer Pin -$5.00
*Pricing may be subject to chang e.
Service Unit Recognitions Committee Report
20 Washington Avenue, North Haven, CT 06473 (800) 922-2770 203-239-2922 203-239-7220 (Fax) www.gsofct.org
Office Use Only: Council Shop Service Center: ________________________________________________________________________________
Council Shop Staff Signature: _________________________________________ Date Purchased: _______________________
Volunteer Services Date Received: __________________________________
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If you wish to have these recognition pins mailed to your home, visit http://shop.gsofct.org/store for a listing of shipping and handling fees and
send this form and payment in full (including shipping and handling) to:
Girl Scouts of Connecticut Retail Shop
20 Washington Avenue North Haven, CT 06473
Service Unit Recognitions Committee Report 10-5-15 Page 2 of 4
The following information is required in order to update the member’s record in iMIS:
Membership Numeral Pins (5, 10, 15 year) Check One: Recipient Name Town Troop #
___5-yr ___10-yr ___ 15-yr
___5-yr ___10-yr ___ 15-yr
___5-yr ___10-yr ___ 15-yr
___5-yr ___10-yr ___ 15-yr
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Years of Service Pin (5, 10, 15 year)
Check One: Recipient Name Town Troop #
___5-yr ___10-yr ___ 15-yr
___5-yr ___10-yr ___ 15-yr
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Service Unit Recognition Committee Report
20 Washington Avenue, North Haven, CT 06473 (800) 922-2770 203-239-2922 203-239-7220 (Fax) www.gsofct.org
Service Unit Recognitions Committee Report 10-5-15 Page 3 of 4
GSOFCT Helping Hand (HH)/GSOFCT Leading the Way (LTW)
Check One: Recipient Name Town Troop #
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Service Unit Recognition Committee Report
20 Washington Avenue, North Haven, CT 06473 (800) 922-2770 203-239-2922 203-239-7220 (Fax) www.gsofct.org
Service Unit Recognitions Committee Report 10-5-15 Page 4 of 4
GSOFCT Distinguished Leader (DL)/GSOFCT Distinguished Volunteer (DV) Check One: Recipient Name Town Troop #
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Additional Space (use as needed)
Award Name Recipient Name Town Troop #
Service Unit Recognition Committee Report
20 Washington Avenue, North Haven, CT 06473 (800) 922-2770 203-239-2922 203-239-7220 (Fax) www.gsofct.org
