Girl Scouts of Wisconsin Badgerland Partnership Form
Thank you for your interest in becoming a partner with Girl Scouts of Wisconsin Badgerland! If you have any questions, please contact us at info@gsbadgerland.org.
Organization Name:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Person:
First Name
Last Name
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Email:
example@example.com
Website:
Which types of partnerships are you interested in?
Badgerland Preferred Community Connections Partner: Troops (typically 25 or fewer Girl Scouts) will coordinate with you and come to your place of business and complete badge earning activities.
Program Partner: Host a program at your location for 25+ Girl Scouts and we will take care of registration
Council Program Partner: Lead a station at a council-led expo style event
Highest Awards: Collaborate with older Girl Scouts on Highest Award projects to make our community a better place
Sponsor Girl Scouts: Financially support Girl Scouts and our educational programming. These funds support events, Girl Scout memberships, volunteer resources, camp scholarships, and many other programs
Educational Resources: as content experts you can help sponsor or create educational resources for our volunteers
Type of Organization (check all that apply):
Association
Nonprofit
Community
Corporation/Business
Faith-based
Foundation
Government
Library
Military Post
Pre-school/Childcare
Other
If the above choice was "other," please describe:
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Badgerland Preferred Community Connections Partnership Information for our website and field trip directory
After completing this form you will be listed on our website and in a field trip directory for our Girl Scout volunteers and troops. Please tell us about your organization, what you offer for Girl Scout troops, and include a copy of your organization's current Certificate of Insurance.
Grade levels you work with (check all that apply):
Daisies (K-1)
Brownies (2-3)
Juniors (4-5)
Cadettes (6-8)
Seniors (9-10)
Ambassadors (11-12)
Adults
Describe what troops should know about scheduling a field trip or guest speaker experience with you. Suggestions: Do you offer badge workshops? If so, for which badges? Is this a tour or behind the scenes experience? Is there a discount or specific price for Girl Scout Troops? What types of activities are available for troops.
Is there a cost to your service?
Yes
No
Location: Provide the address of the location the troop will visit or if you will go to the troop's location
Hours for troops: Include if you are flexible on times for troops, operate during your typical business hours only, have weekend or weeknight availability, etc
Number of people you can accommodate on a field trip: Do you have specific minimum or maximum capacity?
Cost of service: possible options include $XX per Girl Scout, $XX per person, $XX per troop, or free
Please review the partnership agreement and then sign below to acknowledge your agreement to the form.
Signature: I agree to the above Badgerland Preferred Community Connections Partnership Agreement.
*
Certificate of Insurance for general liability (with Girl Scouts of Wisconsin Badgerland listed as an additional insured party, if possible). If you are an individual providing a workshop rather than an organization, please include your personal certificate of insurance for your umbrella policy.
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By checking this box, you agree to sign a Partnership Agreement provided by Badgerland and reviewed by both parties. You also agree to secure and maintain comprehensive general liability insurance. Electronic versions of your current certificate of insurance can be submitted to: info@gsbadgerland.org
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