Girl Scouts Application for Leadership Opportunities
Girl Scout Council of the Nation's Capital
First Name
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Last Name
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Email Address
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Phone Number
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Address
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Street Address
City
State
Zip Code
Age
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Date of Birth (mm/dd/yyy)
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Name of School
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Grade in School
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Graduating Class of:
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Number of Years in Girl Scouts
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Program Level
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Please Select
Cadette
Senior
Ambassador
Troop Number
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Parent/Caregiver Name
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Parent/Caregiver Email
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Parent/Caregiver Phone Number
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I would like to be considered for (select all that apply):
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Board Member-at-Large
Girl Scout Advisory Board (GAB)
Race/Ethnicity (select all that apply)
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Asian
American Indian or Alaskan Native
Black or African American
Hispanic/Latino
White
Other
Tell us about your Girl Scout leadership experiences and Girl Scout achievements.
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Why are you interested in serving as a member of the Board of Directors and/or Girl Scout Advisory Board?
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List three issues you feel will be important for the Board/GAB to focus on during the next three years:
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Tell us about your volunteer activities - Girl Scouts and non-Girl Scouts - include position, dates, experience, awards/certificates, and employment (if any).
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Please provide a headshot photo:
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Please upload your resume (optional):
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Other comments you would like to provide to the Nominating Committee:
I have discussed my application with my parent(s) or guardian and have their permission to apply. We have read, understand and agree to the applications and responsibilities for the positions listed.
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I have read and agree with the statement above
Please sign below.
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