Interested in Girl Scouts?

Girl Scout

Girl Scout Volunteer

FOR GIRL SCOUT:

Name of Girl:

Age:

Street:

City/Town:

State:

Zip:

Grade:

School:

Previous Girl Scout

When?:

Where?

Parent/Guardian Information:

Name:

Phone Numbers:

Best time to Call:

Home:

Work:

E-mail address:

Name:

Street:

City/Town:

State:

Zip:

Home Phone:

Cell Phone:

Work Phone:

Best days/times to call:

Mon. Tues. Wed. Thurs. Fri. Sat. Sun.

Morning Afternoon Evening

Email:

Employer (if applicable):

Have you ever been a registered member of the Girl Scouts?

Yes No

Number of years as a girl:

Number of years as an adult:

What type of volunteer work would you like to do? (Check all that apply)

Girl Scout Pathways Direct Service to Girls:	Girl Scout Pathways Indirect Service to Girls:
Facilitate a program	Fund-raising
Lead a troop	Manage troop sales program
Manage program sales	Mentor adults
Mentor girls	Public speaking/community affairs
Teach a skill	Staff program events
Troop volunteer	Training/development of adults
Work in the outdoors	Work on an adult committee
Transportation	Transportation
Organize special events	Organize special events
Other	Office/clerical work
	Computer systems
	Other