Girl Scout Years Update Form

Girl Scout Years Update Form

This form will be used to help update our records with the accurate number of years you have been a Girl Scout (as a girl and an adult), how many years you have been an adult volunteer, and which awards you have received.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Service Unit
See this map if you need help finding yours: https://www.gsbadgerland.org/en/for-volunteers/service-units.html
Have you gone by other names in the past? Examples include maiden names, nicknames, camp names, etc.
How many years were you a Girl Scout (as a girl member, NOT as an adult member)?*
How many years of membership as an adult do you have (not counting your years as a girl in Girl Scouts)?*
How many total years of membership do you have (girl and adult years added together)?*
How many years of volunteer service to Girl Scouts do you have? Example: A lifetime member may have 20 years of membership (10 as a girl and 10 as an adult), but they have only been an active Girl Scout volunteer for 3 of those adult years. In this example, 3 would go in this box.*
Have you been registered with another Council the the past? If yes, please list the Council(s).
GSUSA AwardCouncil AwardNoOther
If you have received any awards, please let us know which it was and what year you earned each one. If it was a Council award, please also let us know which Council is was from.
YesNot right now, but I'm interested in volunteering again.No
YesNo
In 3-4 sentences, how has Girl Scouts impacted your life?
Should be Empty: