Heart in Hand Pin (Service Unit) Nomination Application

The Heart in Hand (service unit level) pin is a Girl Scouts River Valleys award that recognizes outstanding service (other than that of a leader, co-leader, or assistant leader) that has benefited a Girl Scout troop or service unit. This award may be given to a Girl Scout member, non-member, or a community organization that has given a significant amount of time and energy to Girl Scouts. Nominations are accepted year-round and are reviewed by the committee on a rolling basis.
Award Requirements
- Individual, group, or organization that has given meaningful and outstanding service
- Candidate is skilled in their area of expertise.
- Girl Scout registration not required.
- Candidate has not received this award in the past three years.
- Service and/or project for which the nomination is being submitted is completed.
- Service met Safety-Wise criteria.
- Service is defined as time and talent. Monetary contributions do not qualify.
- Service must have been provided in a role other than leader, co-leader, or assistant leader and benefitted the council or more than one service unit (for example, an organization that partnered with Girl Scouts River Valleys to provide council-wide programming or a skilled volunteer that assisted the council with an important project).
Nomination Instructions
1. Complete the nomination application at any time. You will be asked to provide the date the award is needed. The nominations will be reviewed within 30 days of the date indicated on the application.
2. Note that if the candidate is approved for an award, they will receive a copy of the endorsement questionnaire responses.
3. Additional Adult Award descriptions are available at Volunteers.GirlScoutsRV.org/Adult-Awards-And-Recognition.
Candidate Information
Candidate Name*
First Last
Candidate Service Unit Name or Number*

To look up service unit name and numbers, see our service unit directory.
Describe the volunteer position/role relevant to the nomination.*
Candidate Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Candidate Phone Number
Candidate Email*
Nominator Information
This is the designated contact person if candidate is awarded.
Nominator Name*
First Last
Nominator Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominator Daytime Phone Number*
Nominator Alternative Phone Number*
Nominator Email*
Nominator Position*
Date award is needed by.*
MM slash DD slash YYYY
Heart in Hand Pin (Service Unit) Endorsement Questionnaire
Please describe in detail how the candidate’s ongoing commitment, leadership, and service impacted the mission-delivery goals and priorities for the council and the Girl Scout Movement. Provide as much detail as possible to help the committee understand the exemplary nature of the candidate’s service.
Please describe the activity/activities this candidate implemented to support the delivery of the Girl Scout Leadership Experience.*
When did the service work take place?*
During the service period, how many girls and adults where enriched?*
Please include roles and grade levels if applicable.
What were the goals and expectations? How did the candidate's service go above and beyond the expectations for the position?*
Please provide specific examples.
How did the candidate demonstrate inclusive behavior?*
Is there anything else you want to share about this candidate?

Award Requirements

Nomination Instructions

Candidate Information

Nominator Information

Heart in Hand Pin (Service Unit) Endorsement Questionnaire

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Award Requirements

Nomination Instructions

Candidate Information

Nominator Information

Heart in Hand Pin (Service Unit) Endorsement Questionnaire

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