President's Volunteer Service Award Application

Presidential Volunteer Service Award 2022-2023
As a certfying partner of the Presidential Volunter Service Award, Girl Scouts of Greater South Texas is proud to recognize our Girl Scout and Adult Volunteers who have acheived significant volunteer service during the previous Girl Scout Year. Please use this application to submit and qualify volunteer service hours for the 12-month period of October 1, 2022 thru September 30, 2023. Awards are designated based on cumulative hours and all Girl Scout and Adult members who meet the criteria are eligible to apply.

For more information on this award, or on the application process, please reach out to Jennifer Allen, Volunteer GSGST Awards Facilitator at (956) 535-0548 or gstroop4138@gmail.com.

Due Date: To ensure prompt delivery of awards and pins the report due date is November 15th. Your application must be received prior to that date or your order may be delayed, and you may incur additional freight charges.
To begin the process, please acknowledge the following:*
I understand that for individual awards, I will need to complete one (1) application for each applicant, and I can complete this application as many times as needed.*
Is this application for a Girl Scout, Adult Volunteer or for a Family/Group Award?*

Girl ScoutAdult VolunteerFamily/Troop/Group Award
Name of person completing this application?*

First NameLast Name
Email address of the person completing this application*
example@example.com
Phone number of the person completing this application*
Please enter a valid phone number.
Relationship to the applicant?*

I am the Girl Scout or Adult Volunteer and I am self reportingI am the Troop Leader of the Girl Scout or Adult Volunteer and I am completing this application on their behalfI am the Parent of the Girl Scout
What is your Troop #*
Service Unit?*
If approved, what Service Center would you like your Award sent to?*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Full name of Adult Volunteer (as you would like to see printed on the Award Certificate)*
For this next section, please indicate, per month, the total number of hours being submitted for the Adult Volunteer listed above. If no hours are being claimed in a given month, please just enter the number 0.

If you are claiming more than 20 hours, you will be asked to upload backup (i.e. volunteer hour log, letter from the offering organization) to document the hours claimed.
October 2022*
November 2022*
December 2022*
January 2023*
February 2023*
March 2023*
April 2023*
May 2023*
June 2023*
July 2023*
August 2023*
September 2023*
Total Number of Submitted Hours for the PVSA Year 2022-2023
File Upload

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Were any of these hours earned by volunteering or working with an organization other than Girl Scouts? (Church, School, Non-Profit Organizations, or Businesses)*

YesNo
If yes, how many?
Were any of these hours earned by performing Court Ordered Community Service work?*

YesNo
If yes, how many?
Total Adjusted Hours for PVSA Year 2022-2023. If applicable, this adjusted total reflects the subtraction of hours submitted for Court Ordered Community Service which cannot be considered for PVSA.
Unfortunately, this volunteer does not have enough hours to submit this application for an Adult Volunteer, but we will track your hours towards your Lifetime Achievement Award.
Congratulations, this volunteer is pre-qualified to submit this application for a Bronze Level PVSA Pin and Certificate!
Congratulations, this volunteer is pre-qualified to submit this application for a Silver Level PVSA Pin and Certificate!
Congratulations, this volunteer is pre-qualified to submit this application for a Gold Level PVSA Pin and Certificate!

Full name of Family/Troop/Group (as you would like to see printed on the Award Certificate) Note: the Family/Troop/Group Award will NOT recognize individual members, but rather the combined total for the group. The group MUST consist of two or more people with each member contributing at least 25 hours towards the total.*
Please list each participating member of the Family/Troop/Group. Add more rows as needed to include each member.*
For this next section, please indicate, per month, the total number of hours being submitted for the Family/Troop/Group listed above. These would be the cumulative number of hours for each participant of the family/troop/group. If no hours are being claimed in a given month, please just enter the number 0.

If you are claiming more than 20 hours, you will be asked to upload backup (i.e. volunteer hour log, letter from the offering organization) to document the hours claimed.
October 2022*
November 2022*
December 2022*
January 2023*
February 2023*
March 2023*
April 2023*
May 2023*
June 2023*
July 2023*
August 2023*
September 2023*
Total Number of Submitted Hours for the PVSA Year 2022-2023
File Upload

Cancelof
Were any of these hours earned by working on a Girl Scout Higher Award? (Bronze, Silver, Gold)*

YesNo
If yes, how many?
Were any of these hours earned by working on a Girl Scout Leadership or Mentoring Award? (Junior Aide, PA, LiA, CIT, VIT, Torch, Service to Girl Scouts, Service to Community)*

YesNo
If yes, how many?
Were any of these hours earned by volunteering or working with an organization other than Girl Scouts? (Church, School, Non-Profit Organizations, or Businesses)*

YesNo
If yes, how many?
Were any of these hours earned by performing Court Ordered Community Service work?*

YesNo
If yes, how many?
Total Adjusted Hours for PVSA Year 2022-2023. If applicable, this adjusted total reflects the subtraction of hours submitted for Girl Scout Leadership Awards and/or Court Ordered Community Service, neither of which cannot be considered for PVSA.
Unfortunately, you do not have enough hours to submit this application for a Family/Troop/Group Award. If you would like to submit the group members for individual recognition, please go back to the first page and select a different category.

Note: We are unable to recognize male siblings individualy through Girl Scouts of Greater South Texas.
Congratulations, this Family/Troop/Group is pre-qualified to submit this application for a Bronze Level PVSA Pin and Certificate!

Note: Your order will consist of (1) Pin for each member as listed above, but only (1) certificate for the entire family/troop/group
Congratulations, this Family/Troop/Group is pre-qualified to submit this application for a Silver Level PVSA Pin and Certificate!

Note: Your order will consist of (1) Pin for each member as listed above, but only (1) certificate for the entire family/troop/group
Congratulations, this Family/Troop/Group is pre-qualified to submit this application for a Gold Level PVSA Pin and Certificate!

Note: Your order will consist of (1) Pin for each member as listed above, but only (1) certificate for the entire family/troop/group

Thank you for completing this application for the Girl Scout, Volunteer or Group listed above. Will you need to submit an additional application for an additional applicant?*

Yes, I have additional applications I need to submitNo, this is either the only or the final application I will be submitting.
Once you hit the submit button below, you will be provided the link to submit additional applications.
I certify that the volunteer service hours submitted in this application are true and correct to the best of my knowledge. I further agree that if this application is approved, and an Award is ordered on behalf of the applicant listed above, I will be responsible for all associated costs. I understand that if those costs are not paid, the applicant will not receive the Award. *

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Presidential Volunteer Service Award 2022-2023