Girl Scouts Of Suffolk County Service Unit Coordinator Application Form printable pdf download

Rec’d:_____

Interview s cheduled: _ ________

Girl Scouts of Suffolk County

Appointed: Y es___ N o____

Letter s ent: _ ____________

442 Moreland Road, Commack, NY 11725

Initial: _ __________

Phone: 631.543.6622 • Fax: 631.543.9005 •

Service Unit Coordinator Application

(* is required. Please print clearly.)

*Name: ___________________________________________________________ *Date ________________SU #:__________

*Address: __________________________________________________*Town: __________________________*Zip __________

*Home Phone: _________________________________ *Cell Phone: ____________________________________

*Email______________________________________________________________

*Occupation ________________________________________________________________________________________

Current Employer __________________________________________Phone ____________________

Address _______________________________________________________________ Zip _____________

*List current Girl Scout positions held:

________________________________________________________________________________________________________

*List any previous Girl Scout experience:

___________________________________________________________________________________________________________

*List any volunteer work outside of Girl Scouts:

___________________________________________________________________________________________________________

*Have you ever supervised volunteers? ! Yes

If yes, please indicate where and in what capacity:

___________________________________________________________________________________________________________

*What are your priorities for the coming GS year for strengthening support to your leaders as the SU Coordinator?

1. _________________________________________________________________________________________________________

2. _________________________________________________________________________________________________________

3. _________________________________________________________________________________________________________

*What are your plans for recruiting new and retaining current Girl Scout members (girls)?

1. _________________________________________________________________________________________________________

2. _________________________________________________________________________________________________________

3. _________________________________________________________________________________________________________

*What are your plans for recruiting new and retaining current Girl Scout members (adults)?

1. _________________________________________________________________________________________________________

2. _________________________________________________________________________________________________________

3. _________________________________________________________________________________________________________

Girl Scouts Of Suffolk County Service Unit Coordinator Application Form