Volunteer Interest Form

* = Required Field(s)

*Name:

*Address:
*City:
*State:
*Zip:
*Phone: ( )
Best time to reach you?
*E-mail:
Present Occupation:
Have you ever been a Girl Scout? Yes     No
Briefly Desribe:
How often are you available to volunteer? Once a week    Once a month    Occasional   
When are you most likely to be available? Daytime    Evening    Weekend    Flexible   
Do you have a girl who is a Girl Scout? Yes    No   
If your girl wants to join Girl Scouts,
have you contacted us previously? 		Yes    No   
If no previous contact, please list her full
name and your relationship to her:
Name:
Relationship:
How would you like to be involved with Girl Scouting (select all that apply)?
Girl Scout Leader/Co-Leader
Assist with a Troop
Conflict Resolution Panel
Day/Resident Camp
Guest Speaker/Presenter
Administrative Help
Council Trainer
Innovative Program
C.H.O.I.C.E.
Hispanic Initiative Program
Discovery Program/Girls Night Out
Girl Scouts Beyond Bars
Engineering, Science & Technology
Other - Please note below!
If you are inquiring about becoming a Girl Scout Leader, what grade level are you interested in?
Daisy (K-1)    Brownie (2-3)    Junior (4-5)     Cadette (6-8)   Senior (9-10)    Ambassador (11-12)   
Do you have any comments or questions?