Board Positions Committee Application

Board of Directors, Board Committee, and Board Development Committee Application
This form is for individuals who are interested in serving on the Girl Scouts of Minnesota and Wisconsin River Valleys Board of Directors, Board Committees, or Board Development Committee. This information may also be used for press releases, demographic reports, and to help with committee assignments.

Questions? Contact administration@girlscoutsrv.org.
Name:

First NameLast Name
Email Address:
example@example.com
Phone Number:
Format: (000) 000-0000.
Phone Number
Secondary Phone Number:
Format: (000) 000-0000.
Secondary Phone Number
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you hear about us?

Other
Since you indicated that you were referred to us by a Girl Scout River Valleys member, staff or another personal referral, please list the referrer name and contact information below.
Referrer Name

First NameLast Name
Referrer Phone Number
Format: (000) 000-0000.
Referrer Email Address:
example@example.com
I am interested in serving on the:

Other
Indicate your areas of experience or expertise (check all that apply)

Other
Are you of Hispanic, Latino, or Spanish origin?
How would you describe your ethnicity?

Other/Prefer to self-describe
Which category below includes your age?
Gender (Optional)
Background and Experience

Please provide information on your educational, employment, and volunteer background below. You may upload a copy of your resume to this form, or you can send a copy of your resume to administration@girlscoutsrv.org.
Are you able to upload a copy of your resume now?
Please upload a copy of your resume.

Accepted file types: pdf, doc, docx, jpg, jpeg, png, txt, rtf, zip
Cancelof
Employment

Please provide information about your most recent employment history below.
Company Name:
Company Location:
Your Position:
How long?
Education

Please provide information about your education history below.
Please describe your educational background:
Volunteer Experience

Please provide information about your most recent volunteer experiences.
Organization/Location:
Position:
How long?
Girl Scout Volunteer Experience

Please provide information about your Girl Scout volunteer experience (if any; not required)
Council/Location:
Position:
How long?
Essay Questions

Tell us more! Please answer the following in as much detail as possible.
Why are you interested in serving Girl Scouts River Valleys?
If you are selected, how do you feel you could contribute to the success of Girl Scouts River Valleys?
Upload a recent headshot. You can also send your photo to administration@girlscoutsrv.org.

Accepted file types: pdf, jpg, jpeg, png, gif, zip
Cancelof
Should be Empty:

Board of Directors, Board Committee, and Board Development Committee Application

Background and Experience

Employment

Education

Volunteer Experience

Girl Scout Volunteer Experience

Essay Questions