Other nomination form examples
Cornwell Scout Badge
Name: Harry Canoe
1. Reason for the award nomination
Outline the incident or condition that’s been brought to your attention. Please be as specific as possible about dates and include as much detail as possible to help the National Awards Advisory Group understand the situation.
At Group or District events, Harry is just the same as any other young person. He participates fully in most activities, and always endeavours to help others in Scouting whenever he can. This summer he went camping with the Explorer Scouts and then went on to his old Scout Troop’s summer camp in Kent, taking on numerous responsibilities. Despite starting to feel unwell, he insisted on staying until the end of the camp. As a result, he spent the next two weeks in hospital to recover from an infection that he had picked up.
However, Harry is no ordinary Scout. He was born with a congenital heart disease called Aortic Stenosis, he had surgery to correct the narrowed aortic valve at birth and when he was seven had open heart surgery and had a metal valve fitted. Aged 14 the valve failed and Harry had to go through surgery again. Unfortunately whilst in hospital Harry contracted sepsis and became critically ill. After many weeks of treatment Harry was able to return home but was so weak he was in a wheelchair, Harry’s immune system was permanently weakened and he is now at higher risk to common infections.
Harry didn’t give in and after extensive physio, he regained the strength to walk again. It was then that Harry decided to start taking part in park runs, each week getting stronger and faster. Harry then entered the fun run and through sponsorship raised an amazing £10,000 for Young Hearts the Children’s charity that helped him and his parents when he was born.
Harry always does his best and has gained the highest award in every section and helps at Beavers every week. He is an amazing young man who never lets his health stop him from enjoying Scouting.
2. Involvement in Scouts
Outline what the nominee does in/for Scouts and their usual character.
Harry has gone through all the Scout sections, starting as a Beaver Scout. He has gained the Chief Scout's Award in each section and is presently working on his Diamond Award in Explorers. Harry is also a Young Leader and helps at Beavers every week.
3. Key achievements and outcome
What has the nominee achieved (for themselves or others) by dealing with the incident or despite their condition?
Harry raises funds for “Young Hearts” the charity that helped him when he was first diagnosed with a heart problem. He has raised over £10,000.
4. Personal challenges
Think about the main challenges or risks that the nominee has had to overcome. For acts of bravery did they put their life at risk, and if so, how? If undergoing treatment for a medical condition, how has this affected them and what is the long-term prognosis?
Only by talking to Harry’s parents, would you get an understanding of his extensive medical history. Harry isn’t one to talk about the problems he has faced; instead he just gets on with things. Harry is a very brave and courageous young person. Despite many painful operations and having to take medication since birth, he remains cheerful and determined to continue Scouting to the best of his ability.
Harry’s father has highlighted his son’s positivity ever since his first operation, which has helped greatly with the recovery process. However, over the last two years, Harry has physically slowed down due to the problems with the valve in his heart, which was failing to do its job.
In April last year, he had heart surgery and from that point, his health deteriorated dramatically.
At school Harry enjoys swimming, trampolining, canoeing and physical education lessons as normal and is completing his Silver DofE too.
Harry has shown great courage in the face of adversity and despite his health problems, he has shown great devotion to Scouting and life in general.
5. Other community recognition
Outline any other recognition the nominee has received relating to the incident or condition described above. Examples could include: recognition from the emergency services or other organisations. Please also list the name and dates of any related awards received by the nominee.
Mayor's Young Star Award for his fundraising.
6. Witness statements/evidence
Detail all external support for this nomination. Examples could include: statements from eye-witnesses, the emergency services, doctors or medical specialists or newspaper cuttings etc.
The evidence sent with this recommendation outlines his medical problems, and includes a list of operations he has undergone with their respective dates.
Cornwell Scout Badge
Name: Kenny Kayak
1. Reason for the award nomination
Outline the incident or condition that’s been brought to your attention. Please be as specific as possible about dates and include as much detail as possible to help the National Awards Advisory Group understand the situation.
Kenny was diagnosed with a cancerous kidney tumour 18 months ago at the age of seven. He had to undergo lots of unpleasant tests to define the nature of the tumour and whether it had spread, before having to go through a gruelling eight-hour operation to remove it. Thereafter he suffered months of very powerful chemotherapy and dealt with lots of the side effects of that, including losing a lot of weight, losing his hair, suffering lots of nasty infections and having to have lots of antibiotic treatment.
His treatment finished last month, after 18 months when he rang the bell in the hospital cancer ward. His hair is starting grow back in and he is slowly regaining some of his lost weight.
2. Involvement in Scouts
Outline what the nominee does in/for Scouts and their usual character.
Despite having to face lots of surgery and other treatment, Kenny never lost his passion and enthusiasm for the Scouts. He attended weekly meetings when he was well enough, and when he was in hospital was a regular attender at the hospital Scout Group.
Kenny has been an inspiration to everyone who knows him. His Cub friends have rallied round to help him when necessary, but he insists on being treated like everyone else. His leaders have been astonished at his determination and ongoing enthusiasm for Cubs.
3. Key achievements and outcome
What has the nominee achieved (for themselves or others) by dealing with the incident or despite their condition?
In the past 18 months Kenny has managed to complete his Chief Scout’s Silver Award and six activity badges. He has attended almost all the Cub Pack weekends away, albeit attending during the day and returning home at night.
Kenny decided to raise money for the hospital cancer ward that treated him. The Cub Pack supported this and with Kenny’s drive they managed to raise £6500 in the past six months. The money has been used to help furnish the children’s play zone in the hospital cancer ward.
4. Personal challenges
Think about the main challenges or risks that the nominee has had to overcome. For acts of bravery did they put their life at risk, and if so, how? If undergoing treatment for a medical condition, how has this affected them and what is the long-term prognosis?
It's fair to say that Kenny and his family have been to hell and back in the past 18 months. Kenny has two younger siblings and according to his parents Kenny has been a superb big brother to them both. Despite being unwell, Kenny has still been able to help and support them and to encourage them to help out around the house. Kenny regularly minimises the challenges that he has faced during his treatment. He constantly reminds people about the things he can do and dismisses the things he can’t.
5. Other community recognition
Outline any other recognition the nominee has received relating to the incident or condition described above. Examples could include: recognition from the emergency services or other organisations. Please also list the name and dates of any related awards received by the nominee.
Kenny was interviewed for the Hospital Newsletter and reported on how wonderful the doctors and nurses were who looked after him. He loved attending the MediCinema and the Scout Group when in hospital, and encouraged his fellow patients to join him at the hospital Scout Group meetings.
6. Witness statements/evidence
Detail all external support for this nomination. Examples could include: statements from eye-witnesses, the emergency services, doctors or medical specialists or newspaper cuttings etc.
The evidence sent with this recommendation outlines his medical problems and includes a long list of operations he has undergone. His cancer specialist has been fulsome in her praise for Kenny and his support for the other children undergoing cancer treatment.
Commendation Award
Name: Connor Raft
Why a Commendation Award should be given.
Recently Connor Raft, as a member of the District Leadership Team, was instrumental in the delivery of a support event for new adults joining the Scouts. Connor led the organisation and delivery of the content with the assistance of other leaders across the District.
The event was a complete success and has had the effect of integrating our new adults into the District quickly and providing them with vital information and support structures that they can call upon as they grow into their new roles.
Connor’s dedication and commitment in the initial idea building, planning and delivery is to be commended and recognised by way of a Commendation Award.
Commendation Award
Name: Peter Flag
Why a Commendation Award should be given.
Following on from a District Team meeting where falling numbers in Cubs and Scout sections were discussed, Peter Flag approached the District Lead Volunteer with a proposal to take Scouts to the local primary schools in an effort to recruit new members to five of the struggling Groups in the District.
Peter made contact with the three Primary Schools in the area, had an initial meeting with each Head Teacher, and with their support, produced a program to suit each individual school. Peter then attended each School with a small team of volunteers from the District that he had recruited and trained, and delivered a very successful youth recruitment session. Peter followed up each session with letters to parents explaining all about the Scouts and how their child could join in.
The sessions were so successful that every group is now back up to full strength. Peter even managed to recruit several of the Teachers at the same time.
Peter’s dedication and commitment in the planning and then the delivery of this project is to be commended and recognised by way of a Commendation Award.
Thanks Badge
Name: Sheila Boat
Why a Thanks Badge should be given.
For 15 years, Sheila has been the dressmaker for the District Gang Show. The whole process begins in the August of each year when she starts to design, cut and sew all the outfits that are used for the show, which takes place some 10 months later. The show has a cast of around 50; with each member needing more than one costume, she designs and makes around 400 costumes each year.
For a large amount of the year, her daily routine is to come home from work, prepare dinner for the family and then begin making the costumes until late into the night. Her enthusiasm, creativity and commitment to make the costumes to the very best of her ability are evident for all to see. Sheila works quietly and efficiently, and her hard work enables others to enjoy the limelight of the stage.
Sheila has shown such long-standing devotion and enthusiasm that I feel her dedication is worthy of official recognition.
Thanks Badge
Name: Ian Adventure
Why a Thanks Badge should be given.
Ian has made an outstanding contribution to the fund raising and building of a new Scout and Guide Hall. He has given many hours of labour working on the building itself alongside his Father. This work has also involved also installing a security system and CCTV and Ian has helped with this too. When new gas pipes had to be laid, he liaised with the local farmer and helped to prepare the land to keep the costs down and then helped to re-landscape all the grounds. He has been the contact for all tradespeople and even helped out using a mini digger with some of the excavation work using a mini digger. He has organised and liaised with the painters and decorators, installed flooring, toilet cubicles and new doors and much more.
Ian has been appointed the Security and Maintenance Manager for the new building and will continue to be called upon for long after the building is completed.
Ian has attended meetings to give financial and structural reports and has been the lead in applying for more grants with which to complete the project.
Ian has put so much personal time and effort into the new hall that will be of great benefit to others, his enthusiasm and dedication is truly inspirational.