COOSA LODGE Order of the Arrow

Founder’s Award Nomination Form

“Introduced at the 1981 National Order of the Arrow Conference, the Founder's Award recognizes Arrowmen who have given outstanding

service to their lodge. The award is reserved for an Arrowman who demonstrates that he or she personifies the spirit of selfless service, as advocated by

founder E. Urner Goodman and cofounder Carroll A. Edson.”

Please submit the name of any Arrowman, adult or youth, you consider worthy of the Founder’s Award by November 5th, at FALL FELLOWSHIP. All members whose dues are paid up, who are currently registered in Scouting, and who have given outstanding, selfless service to their lodge will be considered by the committee. Please write legibly in ink or type. Use additional paper if necessary. Nominations may be (1) handed to David Murphree or Daniel Giles by Fall Fellowship (November 3-5), (2) mailed in time to arrive in Birmingham no later than November 6, 2017, or (3) emailed to staffadviser@coosa50.org or davidmurphree@me.com no later than November 6, 2016. This year our lodge will select two recipients, of which, one must be a youth.

Coosa Lodge Founder’s Award Committee ℅ Daniel Giles 516 Liberty Parkway Birmingham, Alabama 35242

NOMINEE INFORMATION (Who you’re nominating)

Nominee Name: Phone:

Mailing Address:

City: Zip:

Email address:

District: Chapter:

NOMINATOR INFORMATION (You)

Your Name: Phone:

Mailing Address:

City: Zip:

Email address:

Please provide how you feel this individual has demonstrated outstanding, selfless service to the lodge and deserving of the Founder’s Award:

(Continued) Please provide how you feel this individual has demonstrated outstanding, selfless service to the lodge and deserving of the Founder’s Award: