The President's Volunteer Service Award
Please submit the following information to apply for the President's Volunteer Service Award on behalf of your troop. Due to form limitations, up to fifteen (15) entries can be submitted on one form.
Name of Girl Scout Volunteer filling out this form:
First Name
Last Name
Troop #:
Service Unit #:
Email:
example@example.com
Phone Number
Please enter a valid phone number.
Individual Information
Please note that a log of activities and hours for each individual must be attached to this form. Service hours earned with other organizations (school clubs, church groups, etc.) must be accompanied by a statement from the group leader certifying those hours.
Volunteer Information
*
Do we have your permission to include your name and hometown in press releases to share that you have earned the award?
*
Yes
No
Are there specific news outlets local to you that you would like us to share info with? Please list names:
*
Would you like us to contact your school? If so, school name and address:
*
If you would like us to include a photo, please upload a high quality, up close photo here.
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Please attach a log of activities and hours or use the chart below
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Signature and Verification
By signing my name below I certify that these hours are valid service hours for the individual(s) listed above.
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
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