EmailMeForm
Diocesan Mass & Awards Reception Interest Form
Girl Scouts in grades 6-12 in fall 2025 complete this interest form by February 15, 2025 to be considered for specific roles for the Diocesan Mass & Awards Reception on March 15, 2025.
Name:
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First
Last
Birthday
*
MM
/
DD
/
YYYY
Email
*
Phone
*
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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
Grade in Fall 2023 (girls in grade 6-12 for Fall 2023 are eligible for specific roles)
*
6
7
8
9
10
11
12
Specific Role(s) I am interested in:
*
Offertory
Lector
Greeter
Award Presentation
Hospitality
Racial/Ethnic Background (optional)
American Indian or Alaskan Native
Asian
Black or African American
Hawaiian or Pacific Islander
White
Hispanic, Latina, or LatinX
I choose not to share at this time.
Other
Parent/Guardian Name:
*
First
Last
Parent/Guardian Email
*
Parent/Guardian Phone
*
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Region and Service Unit
*
(101) Brea
(103) La Cypress Park
(104) Anaheim
(105) Los Alamitos/Rossmoor
(201) Placentia
(202) Yorba Linda West
(203) Yorba Linda West
(204) Orange Villa
(206) Santiago Creek
(102) Fullerton/La Habra
(301) Seal Beach
(302) West Garden
(401) Garden Valley
(303) Huntington Harbor
(304) Ocean View
(305) HB Pierside
(306) Surf City
(205) Anaheim Hills
(402) Tustana
(403) Tustin East
(404) Newport Mesa
(405) Newport Harbor
(501) South Irvine
(502) Heart of Irvine
(503) North Irvine
(602) Lake Forest
(504) Laguna Beach
(505) Aliso Viejo
(506) Niguel Coast
(507) San Clemente
(603) Rancho Portola
(604) Mission Viejo
(605) Rancho Trabuco
(606) Oso Valley
(607) Ladera Valley
(701) Community Programses
Troop Leader/Advisor Name:
First
Last
Troop Leader/Advisor Email
Troop Leader/Advisor Phone
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Short Answer Questions: Each answer must be 100 characters or less.
What interests you in serving in a specific role for the Diocesan Mass & Awards Reception?
*
What skills or experiences make you an excellent candidate for the role(s) you've indicated interest?
*
Video: Record yourself answering the question below in about one minute.
*What specific role do you want to serve in and why?"
Link Instructions: Upload your video to a file-sharing site that can generate a link to either view or download your video (e.g., Vimeo, YouTube, Google Drive, Dropbox). Ensure that anyone with the link can view or download the video, BUT make sure your video is not publicly available or searchable. For YouTube, you can make your video "Unlisted". For Vimeo, you can add a password alongside your link.
If you would like to participate but are unable to provide a video, contact lfinch@girlscoutsoc.org.
Video
Note: If you are unable to upload your video here, you may email it directly to lfinch@girlscoutsoc.org.
Some video tips:
• The video can be made use any recordable device, including a smartphone, tablet, laptop or digital camera.
• Selfie-style videos are accepted and encouraged; your video does not need to be professionally shot or edited—we just want to get to know you and your interest in being a member of the Girl Advisory Board!
• If recording your video from your cell phone, please hold the phone horizontally as it captures higher quality video.
GSOC will notify all interested girls of their status and the Diocese will work with selected girls to prepare for the Diocesan Mass & Awards Reception.