The Scout AssociationGilwell Park Chingford London E4 7QW T: +44 (0)20 8433 7100 F: +44 (0)20 8433 7103 E: scout.association@scout.org.uk W: www.scouts.org.ukPatron: HM The Queen President: HRH The Duke of Kent Founder: Robert Baden-Powell OM Chief Scout: Lt Cdr (Hon) Bear

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Nomination form County Commissioner, GloucestershireIf you think you know just the right person for this role, or are interested in the role yourself, please complete the nomination form below.

Name of nominee

Address

Telephone

Email

Membership number(if current Member and known)

Please explain why this person is suitable for this role, including relevant professional and voluntary experience from inside or outside Scouting (refer to role description).

Please describe the relevant skills that this person has for the role (refer to role description).

Please outline why you felt motivated to complete the nomination/self-nomination.

Nominated by

Contact details (name, address, phone/mobile number, email)

Signature Date

This form should be returned to Hamish Stout, Regional Commissioner. By email to regcomm.southwest@scouts.org.uk. Or by post: The Scout Association, Gilwell Park, Chingford, London, E4 7QW [mark the envelope Confidential – for the personal attention of the SW Regional Commissioner]. The closing date for receipt of nominations and self-nominations is 14th December 2015.