The 'Grow A Garden Club' Membership Form - Girl Scouts Of Northeastern New York

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Girl Scouts of Northeastern New York
The "Grow a Garden Club" Membership Program
Date:___________________
The Club Membership Program is designed to assist the Council in growing its adult volunteer base, in
an effort to offer the scouting experience to a greater number of girls in our Northeastern New York Region.
Requirements:
1. Recruit an adult to fill a volunteer position.
2. The newly recruited adult attends orientation and completes basic required learning & preparation.
3. The newly recruited adult registers with GSUSA (as appropriate).
Recognition:
The volunteer who recruits adults wil receive a keepsake Daisy Pin, based on the scale listed below:
Membership Level:
Level 1
1st recruit - White Daisy Pin
Mention on GSNENY Website & Vol. Connections
Level 2
5th recruit - Yellow Daisy Pin
Mention on GSNENY Website & Vol. Connections
Level 3
10 recruit - Blue Daisy Pin
Mention on GSNENY Website & Vol. Connections
Level 4
15th recruit - Silver Daisy Pin
Mention on GSNENY Website & Vol. Connections
Level 5
20th recruit - Gold Daisy Pin
Feature Article on GSNENY Website & Vol. Connect.
Name of Recruiter: ___________________________________________
Address ________________________________________________ City/State/Zip ______________________ __________
Position: ___________________ Service Unit ________ Phone# _____________ E-mail ________________ __________
Daisy Pin Awards received to date: ________________________________________________________
# of recruits (who became GSNENY volunteers) to date: __________
Name of Person Recruited: ____________________________________
Address ________________________________________________ City/State/Zip ______________________ __________
Position: ___________________ Service Unit ________ Phone# ___________ E-mail__________________ __________
Learning & Preparedness Requirements Completed:
Yes _____
No _____
Registered as a GSUSA Member (if appropriate): Yes ______
No ______
We will review the information you submitted and keep a tally of the number of recruits (becoming volunteers)
that you referred to us. When you reach one of the above-stated milestones (1st recruit, 5th recruit,
10th recruit, 15th recruit, 20th recruit), the information will be verified and your Daisy Pin sent to you.

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