TSA06/GS
CONFIDENTIAL
June 2017
Membership
Number
Award for Good Service, and
Chief Scout’s Personal Award
Personal Details
Before completing the form, please refer to the Conditions
and Qualifications in the booklet Applying for Decorations
and Awards and also Policy, Organisation and Rules.
Date of Birth
D
This form may be used to apply for the Chief Scout’s Personal
Award or the following Good Service Awards – Chief Scout’s
Commendation, Award for Merit and Bar, Silver Acorn and Bar
and Silver Wolf.
D
M
M
Title
Surname
Recommendations for the Award of the Silver Acorn, Bar
to the Silver Acorn and Silver Wolf must be received by
Headquarters no later than 1st September, and any awards
granted will be published in the annual St George’s Day list
in Scouting Magazine. In special cases applications will be
considered outside the St George’s Day list.
Applications for Awards for Cornwell Scout Badge,
Gallantry and Meritorious Conduct should be made on Form
TSA07/CGM.
Forenames
Previous Surname
Current Address
Post Code
DC/CC Checklist
Region/County/Area
Check that the current appointment held is the same as
the record held on Compass.
Does the nominee hold a Wood Badge for their current
Appointments?
District
Group
Check that a valid criminal records check is held
Has five years elapsed since the last Good Service Award?
TICK ONE OF THE FOLLOWING
Cloth Emblem
Current Appointment/s
Pin Badge
For Headquarters use only
For Headquarters use only
Received at Headquarters
Headquarters Reference No.
Awarded by Chief Scout
Date of Award
Award dispatched
CS5
CS60
BSA
CS10
CS70
SW
CS15
HS
CMC
CS20
CSPA
MMC
CS25
CGS
GC
CS30
AM/MM
SC
CS40
BAM/BMM
CS50
SA
BC
CB
Y
Y
Current and Previous Adult Service
Group/District/County/Area
Appointment
Date from
Date to
Service within the community (other than Scouting)
Date
Previous Scout Awards
Date
Wood Badge and other training
Leaders, managers and supporters have a responsibility to complete the obligatory training appropriate to their current
Appointments.
Date
Full report of Especially Good Work for the Movement
Please type or print clearly. Any additional information should be attached to this form.
COMPLETION OF THIS SECTION IS NOT REQUIRED FOR THE AWARD FOR MERIT AND CHIEF SCOUT’S COMMENDATION FOR GOOD
SERVICE
For guidance on citation writing, please visit scouts.org.uk/awards and download the appendix form: Award for Good Service
Briefly outline services within the community other than Scouting
This could be relevant if considering a nomination for a National Honour.
Recommendation as to which award is being nominated and a supporting statement to be completed by
the Country/Region/County/Area Commissioner (this field is compulsory)
For signatures please see overleaf
SUPPORT FOR AWARD NOMINATION – These fields are mandatory
Region/County/Area/District Secretary
District Commissioner
Name:
Date:
Country/Region/County/Area Commissioner
Name:
Name:
Date:
Date:
bove roles (Secretary or District Commissioner) and the Regional/County/Area Commissioners is copied
his form as proof of their support for this award nomination.
Awards for Good Service, and Chief Scout’s Personal Award
Awards for Good Service are made by the Chief Scout, who is advised by the Awards Board, to adult Members or
Associate Members and, exceptionally, to others who have given valuable service to Scouting over a considerable
period.
The Chief Scout’s Personal Award
is awarded by the Chief Scout, in consultation with the
Awards Board to recognise achievement not covered by the
criteria for any other awards. It may be accompanied, where
appropriate, with a suitable commemorative item.
Chief Scout's Commendation for Good Service
is awarded for good service while holding an adult
appointment for a period of not less than 5 years good
service.
The Award for Merit
is awarded after a period of not less than 10–12 years of
outstanding service while holding an adult appointment.
The Bar to the Award for Merit
may be awarded after not less than 5 years of further
outstanding service while holding an adult appointment.
The Silver Acorn
is awarded after a period of not less than 20 years of
specially distinguished service while holding an adult
appointment.
The Bar to the Silver Acorn
may be awarded after not less than 5 years of further
specially distinguished service while holding an adult
appointment.
The Silver Wolf
is the unrestricted gift of the Chief Scout, awarded for
service of the most exceptional nature.
The completed application form should be
emailed to:
[email protected]
The Reward and Recognition Office
For further information contact the Scout Information
Centre:
Telephone 0345 300 1818
Email: [email protected]