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Full Name^*

Email Address^*

Address Line 1^*

Address Line 2

City^*

State^*

Zip^*

Primary Phone Number^*

Alternate Phone Number^*

Troop Number & CST, if applicable

Are you a returning volunteer?: Yes
No

Who did you speak with?

I primarily volunteer because

I perfer to work^*

I would like to primarily volunteer:^*

Are you a member of Girl Scouts?^*: Yes, I have completed my membership form
Yes, I am a lifetime member
No, I am not a member and I understand that i need to complete an adult membership form and pay annual dues to become an adult member upon approval to be a Girl Scout Volunteer

When did you submit your membership form?

When is the best time to contact you?

I'm avalable to volunteer (check all that applies)^*: Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Mornings
Evenings

Hours per month you are available to volunteer

Location of preference to volunteer (schoo, city, county, etc)

Location of preference NOT to volunteer (school, city, county, etc)

Reference Name^*

Relationship^*

Reference Email Address^*

Phone Number

Address

City

State

Zip

If you would consider sharing a talent, training, or workshop, please list any specialized skill/talents/interests below

Which program opportunities are you interested in hearing more about? (check all that apply): Camp (lead day/resident camp, providing outdoor education)
Events (teach skill, assist staff at events, organize special events)
Series (lead girls through Lego League, Uniquely ME!, STEM, Anti-bullying)
Troop (lead a troop, manage product sales, provide transportation, volunteer at troop meetings)
Travel (lead or sponsor in state, national, and/or international trips)
Virtual (monitor girl chat groups in internet-based safe environment)

Which level(s) would you like to work with? (check all that apply): Daisy (K-1)
Brownie (2-3)
Junior (4-5)
Cadette (6-8)
Senior (9-10)
Ambassador (11-12)

Please select the opportunities you are interested in (check all that apply): Accounting
Communication/Marketing
Community Cultivation
Cookie Sales & Fundraising
Council Work
Customer Service
Event Coordination
Interviewing
Learning Facilitation/Training
Recruiting
Trip Planning
Volunteer Mentoring
Other

Would you like to receive information on any of the following? (check all that apply): Juliette Low Leadership Society
Support a girl in Girl Scout for one year

Comments

I understnad and agree to the statement below^*: Yes

background check

Girl Scouts of Western Oklahoma is committed to providing a safe and quality program for girls in the community as they participate in the program. The criminal background check is a component of the volunteer placement procedure. The background check conducted by Intellicorp Systems, includes criminal records searches of convictions, arrests, court records, inmate records and sex offender registries.

Background checks are performed online. Once your application is processed, an email with website and password will be sent to you. If you do not have internet access a paper form will be provided. Conviction will not automatically disqualify you from service. Circumstances will be considered, including the nature of the crime and length of time since conviction.