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National Girl Innovators Interest Form: Fall 2016
National Girl Innovators are a group of 12 Girl Scout Seniors and Ambassadors selected by GSUSA from across the country to serve for a year as direct advisory members to the national Girl Scout Girl Experience team.
Over the past year, the pilot group of Girl Innovators has evolved as the front line of direct girl input for GSUSA, providing relevant and rapid feedback for evolving girl program, informing new marketing assets, merchandise items, surveys, and much more.
GSUSA is currently recruiting the next 12 Seniors and Ambassadors to serve in this year-long position.
Interested GSOC Girl Scout Seniors in 9-10th grade submit this Interest Form to request a nomination by September 20, 2016.
No late Interest Forms will be accepted.
2015 National Girl Innovators (pictured)
Note: Girl Scout Councils may nominate two girls for this national leadership position. GSOC will select up to two nominees who will be invited to complete the 2016 Girl Innovators Application by September 23, 2016 to be considered by GSUSA.
By completing this Interest Form, you are confirming that you understand the requirements and expectations of each member of this group and the importance of your full participation if you are nominated by GSOC and selected by GSUSA.
View the Girl Innovators Description:
https://goo.gl/59NUw8
Please provide the following demographic information.
Name:
*
First
Last
Date of Birth
MM
/
DD
/
YYYY
Girl Email
*
Confirm Email Address
Parent Email
*
Confirm Email Address
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone Number
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Parent Phone Number
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What grade are you currently in?
*
9th
10th
11th
12th
Other
If other, what grade are you currently in?
What type of school do you attend?
*
Public
Private (non-religious)
Homeschool
Charter
Religious
Other:
If other, what type of school do you attend?
Please specify your ethnicity
(choose as many that apply to your identity)
White
Hispanic or Latina
Black or African American
Native American of American Indian
Asian or Pacific Islander
Other:
If other, what is your ethnicity?
What is the highest level of education completed by your caretaker/guardian?
Did not complete high school
High School/GED
Some College
Bachelors Degree
Masters Degree
Advanced Graduate Work or PhD
Caretaker/Guardian 1
Caretaker/Guardian 2
Please specify your religious preference?
Christian
Muslim
Agnostic or Atheist
Prefer not to answer
Jewish
Other:
If other, what is your religious preference?
Please provide your Girl Scout information.
Troop # (or GSI):
*
Enter "GSI" if you are not a member of a troop; enter unsure if you don't know/remember your troop number.
Troop Name (optional):
Region & Service Unit:
*
Please check here if you have read and understand the Girl Innovators Desciption and understand the requirements and expectations of this position.
Yes
No
Narrative Questions: Please provide your response to the following.
What passions do you have that will benefit this team?
*
Please tell us more about how you are an innovative thinker by providing an example of a time you found a smart solution to a problem, big or small:
*
Please tell us about your favorite or most meaningful accomplishment in, or contribution to, Girl Scouting:
*
Please provide any time that you worked well on a team, including experiences with both peers and with adults:
*
Video Question: Please record yourself answering this question in under 40 seconds (selfie-style videos are accepted and encouraged, no video editing skills needed or required). Upload video with your name.
How can girls better partner with adults in Girl Scouts?
*
Note: Video upload must be a wma, avi, mpg, or mp4 file.
Thank you for your interest. We will contact you soon. If you have any questions, please email lfinch@girlscoutsoc.org.