Girl Scout Gold Award Scholarship Fund Application Form
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3Girl Scout Gold Award Scholarship Fund Application Form
This form, along with the original application materials, is to be completed by
Girl Scout Ambassadors who have earned the Gold Award, are graduating
from high school, and are continuing their education post-high school. The
original application must be received by the Girl Scouts Nation’s Capital
office by 5:00pm on March 15, or if this date falls on a weekend, it must be
received by the first business day after March 15.
FORM SUBMISSION
Mail: Girl Scouts Nation’s Capital
Attn: Gold Award Scholarship Committee
4301 Connecticut Avenue, NW
Washington, DC 20008
ELIGIBILITY
To be eligible for a Girl Scouts Nation’s Capital Gold Award Scholarship, an applicant must:
Be a currently registered Girl Scout in Girl Scouts Nation’s Capital
Be a senior in high school
Be continuing her education following high school graduation
Have earned her Gold Award
APPLICATIONS MUST BE
Complete, typed, and clear enough to be duplicated easily. Applicants may attach extra sheets if necessary.
Accompanied By:
A letter of recommendation, written by a non-family member, addressing your achievements in the areas
of leadership and service
Written verification of receipt of the Gold Award from the granting council. If this application and the Gold
Award Final Report Form are submitted at the same time to meet the March 15 deadline, Girl Scouts
Nation’s Capital will provide the Gold Award Scholarship Committee with the required documentation.
Received at the Girl Scouts Nation’s Capital office by 5:00pm on March 15, or if this date falls on a weekend, it
must be received by the first business day after March 15.
Name
Address
City
State
Zip
Phone
E-mail
Association and Service Unit Number
Troop Number
Year Gold Award Was Earned
Council the Gold Award Was Earned In
Number of Years in Girl Scouts
Signature of Applicant:
Date:
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