Girl Scouts Of Connecticut Application For Volunteer Service Form printable pdf download

OFFICE USE ONLY

GIRL SCOUTS OF CONNECTICUT

Date received: _________ by______________________________ (

)

Name

1-800-922-2770

 

Ref. received:

Background. Ck. _______ Vol. Agreement_____

APPLICATION FOR VOLUNTEER SERVICE

Girl Scouting maintains that the strength of the organization rests in the voluntary leadership of its adult members. In appointing volunteers to Girl Scout

volunteer positions, it is important that the qualifications of the position match the skills, interests, and time availability of the volunteers. Information provided

will be maintained in a confidential manner. Please print and completely fill out this two-page form.

Date:______________

First Name

Middle Name or Initial

Last Name

Daughter/Ward’s Name(s) (if applicable)

Street Name and Number

Apt. No.

City

State

Zip

If not at this address for more than two years, please give prior address (es).

Home Phone: (

)

Work Phone: (

)

Cell Phone: (

)

Email:

Town Where Interested in Volunteering

Troop/Group No. (if applicable)

Please indicate other names and nicknames that you have used that may be necessary for us to verify the information on this application.

Easiest way to contact you:

List other Girl Scout Councils with which you have been involved.

VOLUNTEER POSITION SOUGHT–

Check all positions that apply:



Leader/Advisor

Assistant Leader/Advisor

Troop Driver



Troop Cookie Volunteer

Troop QSP Volunteer

Troop Treasurer



Troop Helper

GSOFCT Trainer

Other:______________________________

EMPLOYMENT–

Please provide accurate and complete information for your current or last employment (including temporary, part-time, self-employment, or

unemployment).

Employer’s Name: ______________________________________________________________

Dates: From_________ to __________

Address: ________________________________________________________________________

Positions: ______________________________

Street

Town

City

Zip

Supervisor’s Name: ________________________________________________________

Email Address: __________________________________

Reason for Leaving: ______________________________________________________

Phone Number (

) ____________________________

REFERENCES –

You are responsible for ensuring GSOFCT receives (2) personal references, none of whom are related to you nor reside with you. There are

several ways to forward the required paperwork to your references: electronically, email or in a paper format

. Log onto ,

Become a Volunteer, and review Step #3 of the Application Process for more information.

Please list below the persons that you will be asking to submit references on your behalf. GSOFCT will only contact these references if additional information is necessary.

Name: ______________________________

Address: ____________________________________________________________________________

Street

Town

City

Zip

Email:_______________________________

Day Phone: (

)______________________

Evening Phone: (

)___________________

Name: ______________________________