BOOK OF HONOUR APPLICATION FORM

This is an interactive form that must be completed electronically. After opening the document, save it to your computer, enter the information requested and once again save it to your computer. Failure to save the form to your computer can result in formatting issues or loss of data. When the application form is completed print and mail it to the address listed below. Incomplete application packages may be returned to the nominator. This form is to be completed by the nominator, in consultation with the area awards adviser and area commissioner if applicable and mailed two to three months in advance of the planned presentation date to: Book of Honour Provincial Awards Committee Girl Guides of Canada, BC Council 1476 W. 8th Avenue, Vancouver, BC V6H 1E1

NOMINEE FOR INCLUSION IN THE BOOK OF HONOUR First Name Last Name iMIS#

Street Address City Province Postal Code

District Area

PLANNED PRESENTATION DATE and PRESENTER

NAME OF NOMINATING COUNCIL, COMMITTEE OR GROUP

NOMINATOR’S CONTACT INFORMATION First Name Last Name iMIS #

Street Address City Province Postal Code

Home Telephone Cell Email

SIGNATURE OF NOMINATOR Date

Book of Honour Application Form – October 2015 Page 1 of 2 NOMINEE’S AREA COMMISSIONER First Name Last Name iMIS #

NOMINEE’S AREA AWARDS ADVISER First Name Last Name iMIS #

AREA AWARDS ADVISER OR AREA COMMISSIONER SIGNATURE DATE SIGNED (MM/DD/YY) (Signature indicates approval of area council.)

AS THE NOMINATOR I HAVE TAKEN RESPONSIBILITY TO COMPLETE THIS APPLICATION FORM AND HAVE ENCLOSED THE FOLLOWING: (Please check each applicable box when completed.)

A minimum of four letters of support that tell the story of how this member meets the requirements of eligibility. (See Book of Honour Criteria sheet.) A tribute of 225 words (maximum) telling the story of how this unique member meets the requirements of eligibility. This is compiled from the thoughts and stories expressed in the letters of support. The Book of Honour Manager is available to help you with the tribute. A printed copy of the nominee’s iMIS profile. A cheque or cheques totalling $100 or more payable to Girl Guides of Canada-BC Council and a list (names and addresses) of all who contribute $10 or more. This is needed so that thank you cards and income tax receipts can be sent out. Three copies of a 4” by 6” photo of the nominee in Guiding uniform. The photo is to be vertically oriented and include only the recipient, preferably in Guiding uniform. Please write the nominee’s name and presentation date (in pencil) on the back of each photo. A photo is not available at this time and three copies will be submitted by mail immediately following the presentation. Mail the photos to: Book of Honour Provincial Awards Committee 1476 West 8th Ave. Vancouver, B.C. V6H 1E1

The Book of Honour presentation folder containing the documents and pin is to be mailed to:

First Name Last Name

Street Address City Postal Code

Application forms that are incomplete or missing any of the above enclosures may be returned to the nominator for completion. This could delay the approval process.