Trained Volunteer Pin Form

Trained Volunteer Pin Form
The Trained Volunteer Pin is a recognition earned by an active registered adult volunteer who has completed the required training courses and at least two meetings or events beyond the troop level.
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Service Unit Number*
Troop Number*
Girl Scout Volunteer Position*
Requested Pick Up Date*

MonthDayYear
Date
Please select a pick up option*

Pick up at Nashville Council officeMail to meGive to my Regional Executive
Address (if you selected "mail to me" on previous question)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Applicant has completed the following trainings:*

	Date
Ready, Set, Go
Youth Protection
Online Camping Skills Training

At least two meetings (Service Unit, Council) beyond the troop have been attended:*

If you are not a Service Unit team member, please list the contact information for a team member in your Service Unit. All Trained Volunteer Pins must be approved by both the Service Unit and Council.
Service Unit Team Member

First NameLast Name
Service Unit Team Member Email
example@example.com
Signature*

Clear
Should be Empty:

If you are not a Service Unit team member, please list the contact information for a team member in your Service Unit. All Trained Volunteer Pins must be approved by both the Service Unit and Council.