2017 Silver Beaver Nomination Form
All applications should be submitted to: SuffolkCounty Council, BSA
7 Scouting Blvd
Medford, NY 11763
Attn: Pat Dimauro
SUBMITTAL DEADLINE: Friday, December 30, 2016 (firm deadline)
To the SuffolkCounty Council Silver Beaver Committee:
I understand that the Silver Beaver Award is the highest award that a local council can bestow upon a Scouter. I take pleasure in presenting for your consideration the nomination of the Scouter named below for the Silver Beaver Award.
(Please Type, Key on Computer or Print Legibly)
Silver BeaverCandidate / Nominee’s full name, correctly spelled and title, if any / Home Phone Number / Business Phone Number
Street Address, City, Zip / District/Council / Current Occupation
Registered Position in Scouting / Unit/District / Registration Expiration MM/YY
Please Enter Years of Boy Scout Service / As a Youth / As an Adult
Make sure to enter candidate's information on all four pages
- Mandatory Requirements:
(a)Candidates for the award must be a registered volunteer Scouter with Suffolk County Council, BSA.
(b)They must be at least 21 years of age.
(c)The Silver Beaver award is made for noteworthy service of exceptional character to youth by Scouter within the territory under the jurisdiction of Suffolk County Council.
- General Guidelines:
(a)While not mandatory, ten years of active scouting service to youth in Scouting is desirable. However, tenure is not a requirement.
(b)Candidates should have provided service to youth outside of Scouting.
(c)The Candidates service should be regarded as outstanding or distinctive beyond the expectation of normal duty.
(d)The nominee has an exemplary record of service, reputation, and standing in the community.
- Nomination Instructions:
(a)Read the nomination form carefully before attempting to complete.
(b)At no time should the candidate know that they are being nominated for the Silver Beaver Award.
(c)No Scouter may nominate themselves nor promote themselves for nomination/selection.
(d)The nominator should make sure that the application is as complete as possible. This will require that they gain information from Scouting, Community and family members in order to ensure completeness and accuracy.
(e)Make sure that the information is factual and detailed. The nominator’s contact information at the end of this form should also be complete in case any clarification or additional information is required.
(f)Nominations cannot be considered for posthumous awards.
(g)This form is available electronically, through Suffolk County Council BSA Website
(h)The application includes three main areas: service to Scouting; service to other community organizations; service to youth outside of scouting.
(i)For religious service, just being a member of a church or synagogue does not constitute noteworthy service. Similarly, this also holds true for Scouting and other community organizations.
(j)Testimonials or personal recommendations are not permitted.
(k)For business and professional service, this refers to the candidate’s affiliation with industry group/societiesand does not refer to positions the candidate has held in earning his/her living.
(l)More than one application per candidate does not improve the candidates' chances of receiving the award. One comprehensive application is desired.
(m)Nominations are not carried forward to the next year. The candidate's nomination must be updated and resubmitted.
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Official Suffolk County Council, BSA Silver Beaver Nomination Form - For 2017 Nominations
Suffolk County Council, Boy Scouts of America
2017 Silver Beaver Nomination Form
Nominee’s full name, correctly spelled and title, if anyCategory 1. Service to Scouting as an Adult:
On this page, include the candidates detailed scouting background. In the appropriate tables, include positions held, awards received and training completed. It is extremely important to include the dates for each item.
From / To / BSA Scouting Positions Held / Unit/District/Council/Region/OtherDate / BSA Scouting Training Session/Course / Level: Cubs, Scouts, Exploring, Venturing
Date / Award/Recognition / Organization / Date / Award/Recognition / Organization
Nominee’s full name, correctly spelled and title, if any
Category 2. Service to the Community:
Examples for this category might include service provided to Professional or Business organizations, Religious organizations, PTA, Fire Department, Civic clubs (K OF C, Elks, Kiwanis, Lions Club, Rotary, et al), Veterans (American Legion, VFW, et al), Educational Fraternal, Red Cross, Other
From / To / Community Position Held (Office/Member) / OrganizationCategory 3. Service to Youth Outside of Scouting:
Examples for this category might include service to youth in: Girl Scouts, Youth Sports Programs, PTA/youth, YMCA, Religious youth organizations, Boy's Clubs, school programs (must be non-employment related)
From / To / Community Position Held / OrganizationAwards/Honors Received from Categories 2 or 3
Examples might include Medal of Honor form Fire Department, Man of the Year, Level of Knighthood, etc.
Date / Award/Recognition / Organization / Date / Award/Recognition / OrganizationNominee’s full name, correctly spelled and title, if any
On this page, please indicate the candidate's NOTEWORTHY PERFORMANCE for each of the three categories. This should include only factual information and should NOT include personal testimonials.
Noteworthy Performance to Scouting:
Examples might include: as Scoutmaster she/he had 10 boys receive the Eagle Scout Award; as part of the Friend of Scouting Committee they raised over $15,000 in the past two years; helped organize 10 units in the district; reorganized a troop that has grown from 5 boys to 50 boys; ran 20 training courses in the past 3 years.
From /To
/Organization that Received Service
/Describe Specific Noteworthy Performance
Noteworthy Performance to the Community:
Examples might include: as a member of the Lions Club, was responsible for raising $10,000 for community needs; established a Knights of Columbus chapter for his/her Church; organized a fundraiser that was used to add an addition to hi/her synagogue;
From /To
/ Organization that Received Service / Describe Specific Noteworthy PerformanceNoteworthy Performance to Youth outside of Boy Scouting:
Examples might include: As a member of the Kiwanis club, raised $4000 for disadvantaged youth in the community; while serving as the president of the Little League, was responsible for increasing membership by 10%; Ran a drive to provide clothes for children that were victims of the California Earthquake; as a Girl Scout Leader had 5 girls receive their Gold Awards
From /To
/ Organization that Received Service / Describe Specific Noteworthy PerformanceRespectfully submitted by:
Nominator / Nominator’s Name / Home Phone Number / Business Phone NumberStreet Address, City, Zip / District/Council / Date of Completion
Relationship to Nominee / Signature Email Address
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Official Suffolk County Council, BSA Silver Beaver Nomination Form - For 2017 Nominations