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Nomination for Rover Service Award

This form is to be used to nominate a Rover Scout, Rover Adviser, other uniformed Members of the Scout Movement, or a non-uniformed Rover Section Supporter for the Rover Scout Service Award:

1. Complete the relevant sections with the evidence to support the nomination, and

2. Attach the Nominee’s Extranet membership record to this form.

Nominee Personal Details:

Title *

First Name *

Last Name *

Postnominals

Current Address *

Appointment *

Rover Unit/Formation *

CORE MODULE

Child Safe Scouting *

Completed
Not applicable

Years Completed (Please write N/A if not applicable) *

WHS for Scouting *

Completed
Not applicable

Years Completed (Please write N/A if not applicable) *

THE AWARD

The Rover Scout Service Award is awarded by Branch Rover Council on the recommendation of an individual, Unit, or the Branch Rover Council itself to Rover Scouts, Rover Advisers, other uniformed members of the Scout Movement, and / or non-uniformed people, who give outstanding service to the Rover Scout.

At least 5 years of service must be shown through this form for a Rover or at least 10 years for a Rover Advisor, other uniformed members of the Scout Movement, and / or non-uniformed people. Years may show concurrent (same year, multiple roles) or consecutive (1 role per year) service.

Service to a section other than Rovers has no relevance to the Award. This service should not be used to support a nomination. For service in sections other than Rovers, use the relevant Adult Recognition Awards nomination form.

To nominate, please provide a minimum 2 sentences to answer the questions below. Please visit the Mock Nomination or Rover Service Awards Frequently Asked Questions sheet for more information.

DETAILS OF SERVICE

Please list the roles the nominee has held which support the Rover Scout section and what years these roles were held.
*Role held may be as an office bearer at a Unit, Branch or National level; as part of a major event; or as another form of service to the Rover Scout section (consult the ACT Branch Rover Council Chair if unsure)

Role/Position	Description of service	Dates - Start / Finish

EVIDENCE OF SERVICE TO SUPPORT RECOMMENDATION

How has the nominee provided outstanding service to the Rover Scout section? *

For the positions listed above, detail how the nominee has gone above and beyond in these roles? *

How has the nominee demonstrated leadership which has inspired enthusiasm among Rover Scouts? *

Why do you believe the nominee is deserving of the Rover Service Award? *

CITATION

In a few sentences, clearly articulate why the Nominee is being nominated for this Award. This should be written in the third person and may be read out in support of the nomination, when the approved award is presented. *

Please attach Nominee's Extranet membership record here. *

List of Allowed file types

RECOMMENDATION AND ENDROSEMENTS

Nominator's Position *

I hereby nominate the above nominee

Type your name and sign below

Clear Show me how

Approvals

A number of approval stages need to be completed before this submission can be accepted.

Rover unit leaders

Please select the appropriate approvers from the Rover unit leaders group below.

Branch Rover Council

Appropriate approvers from the Branch Rover Council group will be automatically allocated for this approval stage.

Human Endeavour Recognition Committee Notification

Appropriate approvers from the Human Endeavour Recognition Committee Notification group will be automatically allocated for this approval stage.

Branch office review

Appropriate approvers from the Branch office review group will be automatically allocated for this approval stage.