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First Name:^*

Last Name:^*

Company:

Title:

Address 1:^*

Address 2:^*

City:^*

State:^* Select State or Province... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territory Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other

ZIP:^*

E-mail address:^*
user@example.com

Day phone:^*
(###)###-####

Evening phone:
(###)###-####

Cell phone:
(###)###-####

How did you hear about volunteering for Girl Scouts?^*

Volunteer interests:^*

• Help at an event
• Episodic volunteer - occasional projects, such as camping or college tours
• Translate written materials or be a foreign language interpreter for an event
• Girl Scout ConnectZ Cookie Manager-troop level - help girls have a successful Cookie Program Activity
• Plan an adult education conference or local event
• Be a spokesperson to recruit volunteers and girls to Girl Scouts
• Lead a troop
• Troop helper – assist the troop leader
• Be a delegate
• Train other Girl Scout volunteers
• Work with girls in cultural initiatives troops
• Web support – help a troop update and maintain their website
• Event planner - college readiness workshop
• Support Centennial celebration

Talents and skills you might like to share:

• Outdoor skills (camping, canoeing, rock climbing, lifeguarding, archery, etc.)
• Winter sports (snow shoeing, ice skating, etc.)
• Travel (local field trips, trip planning, etc.)
• Lead discussions (relationships, career/education planning, etc.)
• Arts/culture (knitting, theater, Hmong dance, etc.)
• Sports/fitness (nutrition, softball, self defense, first aid trainer, etc.)
• Animals/science/nature (animals, botany, conservation, etc.)
• Earned awards (mentor girls earning service awards, etc.)
• Service projects (list ideas of projects that match your skills/expertise, etc.)
• Other (business tour, cooking, jewelry making, languages, sign language, etc.)

Additional information about your talents and skills:

Grade levels of girls you'd like to work with:

• K-1
• 2-3
• 4-5
• 6-8
• 9-10
• 11-12

Availability

Monday availability:
Morning, afternoon, evening, all day, etc.

Tuesday availability:

Wednesday availability:

Thursday availability:

Friday availability:

Saturday availability:

Sunday availability:

How far are you willing to travel to a volunteer opportunity?^*

Any additional information you would like us to know?