NATIONAL ORDER OF THE ARROW COMMITTEE
DISTINGUISHED
SERVICE
AWARD
The National Order of the Arrow Committee presents the Distinguished Service Award to those Arrowmen
who have rendered outstanding service to the Order on a sectional, regional, or national basis. It is given
primarily for dedicated service to the Order and Scouting over a period of years. Only a limited number of
awards can be presented. Arrowmen whose service records are the most outstanding and extend the
farthest beyond the lodge level are usually selected. Young men under 21 and adults (volunteer and
professional) are eligible for nomination. Nominations will not be accepted or considered for posthumous
awards.
NOMINATION FORM
BIOGRAPHICAL INFORMATION REQUEST
NAME OF NOMINEE:
Home Street Address:
City: State: ZIP:
E-Mail Address: Phone: Date of Birth:
School or Title & Employer:
Lodge & Council:
Registered in Scouting as:
BOY SCOUTS OF AMERICA ORDER OF THE ARROW
NO ADDITIONAL MATERIAL IS REQUIRED; HOWEVER, ONE (1) LETTER OF SUPPORT MAY BE ATTACHED.
NOMINATED BY:
Home Street Address:
City: State: ZIP:
E-Mail Address: Phone: Date:
(e.g., Scoutmaster, Troop 781)
Print Form
BIOGRAPHICAL HIGHLIGHTS
OA SERVICE (OFFICES HELD, HONORS, EVENTS)
NATIONAL SERVICE:
REGIONAL SERVICE:
SECTIONAL SERVICE:
LODGE SERVICE:
OTHER SCOUTING SERVICE (Positions held, including dates):
MAJOR CIVIC AND COMMUNITY OFFICES:
SOCIAL AND FRATERNAL OFFICES:
RELIGIOUS OFFICES:
BUSINESS OR PROFESSIONAL POSITIONS:
SCOUTING HONORS RECEIVED:
BOY SCOUT Rank Attained:
District Award of Merit: Silver Antelope:
Silver Buffalo: Distinguished Eagle Scout Award:
Year Year Year
Year Year
Others (specify):
RECORD OF ORDER OF THE ARROW SERVICE:
Silver Beaver:
Date of Ordeal: Brotherhood: Vigil:
Year Year Year
JUSTIFICATION
I believe this nominee is worthy of receiving this award for the following reasons:
BOY SCOUTS OF AMERICA
ORDER OF THE ARROW
1325 West Walnut Hill Lane
P. O. Box 152079
Irving, TX 75015-2079
TER 2021
Nominations must be received by the OA director no later than 5 pm CST, January 31 of each national conference year.
Signature of the lodge chief _______________________________________
Signature of the lodge adviser _____________________________________
Each nomination form must be countersigned by the council Scout executive of the nominee's lodge.
CONCUR NONCONCUR ______________________________________ _____________
Council Scout Executive Date
Council Name: ____________________________________________ Council No.: _____________
Council Comments:
Each nomination form must be signed by the region OA chairman.
CONCUR NONCONCUR ____________________________________ _____________
Region OA Chairman Date
Region Comments:
24-201