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Volunteer Application Form (ID: e0d69fa3fe8c4a03a78db16d2fe03434 / )
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Contact Information
Name:    
First        Middle Initial  Last
Address:        
Street     City         State Zip
Phone:    
Home     Cell        Business
Email:   I would like to receive Email Reminders and Announcements
Volunteer Opportunities in which you might be interested
 
Troop/Group Leadership (SU# if known)     Event Planning     You tell us:    
Troop/Group Leadership (Existing: Troop# )     Teaching a skill or hobby     Mentor    
Assistant Troop/Group Leadership     Event Volunteer     Service Unit Support    
Camping/Outdoor Opportunities     Administrative Support     Specialty Program Series    
Strategic     Adult Learning Facilitator     I am undecided, please contact me:    
Please indicate your grade preference, if applicable:
 
Girl Scout Daisy (K- 1st grade)      Girl Scout Cadette (6-8 grades)     
Girl Scout Brownie (2-3 grades)      Girl Scout Senior (9-10 grades)     
Girl Scout Junior (4-5 grades)      Girl Scout Ambassador (11-12 grades)     
Desired Length of Term?
 
One time/Occasional       One to twelve weeks       Four to six months       Eight to twelve months      
What is your volunteer availability?
 
Monday Any       Mornings       Afternoons       Evenings      
Tuesday Any       Mornings       Afternoons       Evenings      
Wednesday Any       Mornings       Afternoons       Evenings      
Thursday Any       Mornings       Afternoons       Evenings      
Friday Any       Mornings       Afternoons       Evenings      
Saturday Any       Mornings       Afternoons       Evenings      
Sunday Any       Mornings       Afternoons       Evenings      
How did you learn about Girl Scout Volunteer Opportunities? (check all that apply)
 
School         Brochure         Social Media        
Girl Scout volunteer         Employer         Online Volunteer Matching Site        
Website         Poster         Other        
Media         Council staff        

Work Experience

Experience  
        Current Employer?
Occupation Employer
Address:        
Street     City        State      Zip

Volunteer Experience
Experience   Please Wait ... Adding  
   
Position Council/Organization Year

Girl Scout Training
Experience   Please Wait ... Adding  
Course:
 
Name of Course Council Dates

Please indicate areas of Special Interest. (check all that apply)
 
Arts       Healthy Living       Travel      
Business / Entrepeneurship       Science and Technology       Outdoor      
Career Exploration       Sports       Other      
Please indicate Special Skills. (check all that apply)
 
Accounting / Financial Mgmt       Facilitation / Leadership       Marketing / PR / Brand      
Administration       Fund Development       Strategic Planning / Evaluation      
Education       Human Resources       Teambuilding      
Customer Relations       Information Technologies       Other      
List any Special Certifications you Hold
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Detail:
Type Details (max length 255 characters per Item)

Personal References
  Complete Addresses are Required to Process this Application. Email addresses are preferred.
  Please list 4 Persons WHO ARE NOT FAMILY.
  If you have previous experience as a volunteer, one reference should be from that organization.
Reference 1   Please Wait ... Adding  
Name:    
First        Middle Inital  Last
Address:        
Street     City        State      Zip
Phone:    
Home     Cell        Business
Email:
Reference 2   Please Wait ... Adding  
Name:    
First        Middle Inital  Last
Address:        
Street     City        State      Zip
Phone:    
Home     Cell        Business
Email:
Reference 3   Please Wait ... Adding  
Name:    
First        Middle Inital  Last
Address:        
Street     City        State      Zip
Phone:    
Home     Cell        Business
Email:
Reference 4   Please Wait ... Adding  
Name:    
First        Middle Inital  Last
Address:        
Street     City        State      Zip
Phone:    
Home     Cell        Business
Email:


ALL VOLUNTEERS WORKING DIRECTLY WITH GIRLS AND/OR SERVING AS PRODUCT SALES MANAGERS ARE REQUIRED TO COMPLETE A BACKGROUND CHECK.
 

Girl Scout Promise Girl Scout Law  
On my honor, I will try;
To serve God and my Country,
To Help People at all times,
And to live by the Girl Scout Law.
I will do my best to be
honest and fair,
friendly and helpful,
considerate and caring,
courageous and strong,
and responsible for what I say and do,
and to respect myself and others,
respect authority
use resources wisely,
make the world a better place,
and be a sister to every Girl Scout.


I understand that I can not meet with girls/parents until I have been appointed as a Leader which requires reference and background checks being complete. I will be notified when I am approved and can begin meeting with the girls/parents.

I understand that this is an application for a volunteer position in Girl Scouting for which there is no monetary compensation. In the selection of volunteers, there shall be no discrimination against an otherwise qualified individual on the basis of race, color, ethnicity, religion, creed, national origin, socioeconomic status, age, disability, marital status, veteran status, or on any other basis prohibited by federal, state or local law.

I authorize you to check all my personal and employment references. I understand that criminal background checks will be required and confidential procedures will be followed. I understand that any misrepresentation, omission, or falsification of any fact from this application or during any interview will be cause for rejection of this application or dismissal from volunteer services. I also understand that acceptance for volunteer service is subject to verification of references and background check.
I Agree to these Terms  



 
8/22/2014
Type Your Name (My Signature) Date of Application


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