Juliette Gordon Low World Friendship Medal Interest Form

Nomination: Juliette Gordon Low World Friendship Medal Interest Form
Nominator's Full Name*

First NameLast Name
Nominator's E-mail*
Nominator's Main Phone*

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Full Name of Recommended Candidate*

First NameLast Name
Recommended Candidate's Address*

Street Address

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Recommended Candidate's E-mail*
Recommended Candidate's Main Phone*

Area CodePhone Number
Is the nominee a current member of Girl Scouts?*

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Award Requirement Questions

Please explain how the recommended candidate has met the following requirements for the Juliette Gordon Low Friendship Medal Interest Form.
1) Impact on girls: Explain the nominee's efforts in girl involvement resulting in increased opportuinities for girl-led global opportunities and Take Action projects resulting in significant global action.*
2) Commitment: Explain how the recommended candidate has demonstrated dedication and commitment over a significant amount of time by continuously promoting and expanding the global dimension of Girl Guiding and Girl Scouting. Also explain how the recommended candidate has promoted the Juliette Low World Friendship fund or global Girl Scouting funding opportunities.*
3) Global Awareness: Explain how the recommended candidate has created and promoted resources and opportunities that increase the understanding of the global dimension of Girl SCouting and Girl Scouting to the council and the larger community.*
4) Leadership: Explain how this recommended candidate is recognized by girl and adult members and the larger community as a leader who leverages the global impact of Girl Guiding and Girl Scouting.*
5) Any additional comments or questions? Attach any additional documents below.*
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Nomination: Juliette Gordon Low World Friendship Medal Interest Form