Girl Scouts of Central Texas

Bryan College Station Nomination Form
  1. Women of Distinction nominations for the Bryan College Station area are currently being accepted. Please tell us how to contact you, the nominator.
  2. Your name(*)
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  3. Address/City/State/Zip code(*)
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  4. Primary Phone Number(*)
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  5. Secondary Phone Number
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  6. Email Address(*)
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  7. Please tell us about the woman you are nominating.
  8. Nominee's Name(*)
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  9. What is your relationship to the nominee?(*)
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  10. Nominee's Address/City/State/Zip code(*)
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  11. Nominee's City/County of Residence(*)
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  12. Nominee's Primary Phone Number(*)
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  13. Nominee's Secondary Phone Number
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  14. Nominee's Firm/Agency/Organization(*)
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  15. Nominee's Occupation/Position/Title(*)
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  16. Nominee's Email Address(*)
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  17. Nominee's community contributions/leadership activities(*)
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  18. Nominee's personal/professional achievements and awards(*)
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  19. Principal reason for nomination(*)
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  20. Additional comments or notes
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  21. Was the nominee a Girl Scout?(*)
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  22. If the nominee is selected as a Woman of Distinction, may we contact her directly?(*)
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  23. Including additional information, resumes and/or press clippings is not required but is strongly encouraged.
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