Ute District Talon Award Nomination Form

The Ute District Talon Award is presented annually to deserving youth aged 14 –17 ( and Sea youth ages are 14 – 20) registered and current in youth positions in Boy Scouting, Venturing, or Sea Scouting. Nominated youth should be active in their Troop, Crew, or Ship and have rendered noteworthy volunteer service at the District, Council, Region, National or International level. An adult leader with first hand knowledge of the ’s performance should nominate the youth for this award.

Submission Instructions Complete the information below Submit to Cameron Ackley, District Executive, at: [email protected], Fax 719-634-1436, or in person at the Pikes Peak Council BSA, Service Center, 985 W. Fillmore, Colorado Springs, CO 80907 Submission deadline is December 1.

Tribal Award Nomination Name of Nominee:

Mailing Address:

City / State / Zip:

Telephone: E-Mail:

Unit (Type-Number): Scouting Rank:

Years in Scouting: Youth Leader Trained?

Submitter: Date:

Signature:

Telephone: E-Mail:

Tell us why you are nominating this person for consideration of the Talon Award:

10/11/2012 (REE) Date received:

Noteworthy Service and ways this person demonstrates the :

Community Involvement:

Scout Leader Positions:

Previous Awards: Adult Religious Award Hornaday Award

Arrow of Light International Scouter Award Bob White Outstanding James E. West Award Commissioner Service Commissioner’sAward Key James N. Moore Ute District “UBET” Award Cubmaster Award Medal of Merit Spurgeon Award

Cub Scouter Award O.A. Distinguished Tiger Cub Leader Service Award Award Den Leader Award Other Significant Ute District Scouter of Award earned as Youth the Year Award Den Leader Coach Other(Explain) Significant Ute District Spark Plug Award Award earned as Adult Award District Award of Merit Powder(Explain) Horn Award Ute District Tribal Award Eagle Scout Award Professional Training Ute District Lifetime Award Achievement Award Explorer Gold Award Quartermaster Award Whitney M. Young Service Award George Meany Award Scouter’s Key William D. Boyce Award Heroism Award Scouter’s Training Award Honor Medal Scoutmaster Award of Youth Religious Award Merit Honor Medal w/ Crossed Palms

10/11/2012 (REE) Date received: