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2019 Exploring Membership Growth Recognition (Finish positive in Exploring membership growth "2019 over 2018" and receive a 70th Anniversary Polo Shirt. Achieve 7 percent Exploring growth and receive a 70th Anniversary coin in addition to the polo shirt). A volunteer may also be recognized on each level.
This form to be completed for each Professional/Volunteer pair that finished 2019 with positive Exploring Membership Growth. This form should be completed by the recipient's staff leader or Scout Executive.
* Required
Council Name and Council Number
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Your answer
Council Complete Mailing Address (City, State, Zip)
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Your answer
First and Last Name of the person completing this form
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Your answer
Email Address of person completing this form
Your answer
Job Title of person completing this form
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Your answer
Professional's Name that earned the award (First and Last)
Your answer
Professional's Job Title that earned the award
Your answer
Professional's email address that earned this award
*
Your answer
What was the Professional's Year End Exploring Membership in 2018.
Your answer
What was the Professionals Year End Exploring Membership in 2019. (Must finish positive Exploring membership to qualify) "2019 over 2018"
Your answer
What is the Professional Recipient's shirt size for the 70th Anniversary Polo Shirt?
*
X-Small (FEMALE)
Small (FEMALE)
Medium (FEMALE)
Large (FEMALE)
X-Large (FEMALE)
XX-Large (FEMALE)
XXX-Large (FEMALE)
Small (MALE)
Medium (MALE)
Large (MALE)
X-Large (MALE)
XX-Large (MALE)
XXX-LARGE (MALE)
XXXX-LARGE (MALE)
What is the Volunteer's Recipient's shirt size for the 70th Anniversary Polo Shirt? Each Professional that earned this award is allowed to recognize one volunteer as well.
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X-Small (FEMALE)
Small (FEMALE)
Medium (FEMALE)
Large (FEMALE)
X-Large (FEMALE)
XX-Large (FEMALE)
XXX-Large (FEMALE)
Small (MALE)
Medium (MALE)
Large (MALE)
X-Large (MALE)
XX-Large (MALE)
XXX-LARGE (MALE)
XXXX-LARGE (MALE)
In order to Qualify for the 70th Anniversary Coin, the Professional must have finished with at least 7 percent Exploring membership growth (2019 over 2018). If he/she did qualify, you may choose up to two coins in order to recognize a volunteer as well. Did this professional qualify for the 70th Anniversary Coin by achieving at least 7 percent growth?
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Yes
No
Based on the answer above, how many "70th Anniversary Coins" does he/she wish to receive?
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1 Coin (just for the professional)
2 Coins (one for the professional and an additional coin for a volunteer)
0 Coins (did not qualify because he/she did not achieve 7 % growth)
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