CAMP SERVICE AWARD
Kittatinny Lodge 5 – Order of the Arrow

This Camp Service Award is presented by Kittatinny Lodge 5.  It is given to a youth member who renders outstanding service to the Lodge's summer camping program.  In order to give due consideration to all worthy lodge members, please fill out this form, including all pertinent information.  This form is to be submitted no later than March 31.

Nominee’s Name:

Nominee’s Unit:

Nominee’s Address:

Ordeal Date: ____/____/____

Brotherhood Date: ____/____/____

Vigil Date: ____/____/____

Specific Reasons for Recommendation:

Recommended by:

Phone:

Date:

Mail Form to: Attn: Camp Service Award, Kittatinny Lodge 5, Hawk Mountain Council – BSA, 5027 Pottsville Pike, Reading, PA  19605