EmailMe Form - GSOC Grad Girl Scout Report Form

Girl Scouts of Orange County - Graduating Girl Scout Contact Info

Name: *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Current Email (a non-school address is preferred) *

Confirm Email Address

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.

Name of your High School: *

Awards/Scholarships

Did you earn any of the Girl Scouts' Highest Awards? (check all that apply) *

Girl Scout Bronze Award

Girl Scout Silver Award

Girl Scout Gold Award

I did not earn the Highest Awards

Provide a list of any special awards earned or scholarships received.

If possible, your list should include:
* name of the award/scholarship (if applicable)
* amount of scholarship (if applicable)

Awards and Scholarshps

1
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10

Additional information on awards and scholarships:

Testimonial

Please provide 2-3 sentence testimonial that captures how Girl Scouts has prepared you for your next journey (college, career, etc.)

Your testimonial may include:
* What leadership skills you developed in Girl Scouts
* What you have learned through Girl Scouts
* How your Girl Scout experience has helped you prepare for your future
* How you plan to give back to Girl Scouts

Testimonial: *

Sample Testimonial:

“For the last 12 years, I have been reciting the Girl Scout promise at girl-led meetings, service projects, and campouts. But one afternoon it hit me. My promise was to be courageous, confident and full of character, and always make the world a better place. It was in this little moment I realized all of my Girl Scout experiences helped me become the person I am today -stronger, more resilient, and more passionate about my own future.”
-Julia, age 17, Girl Scout Ambassador from Troop 261, Tustin

Number of years I have been a Girl Scout: *

Future Plans

Please provide information about your future plans.

After high school, I will:
(check all that apply) *

attend a 4 year college/university

attend a 2 year college

attend a trade or vocational certificate program

serve in the military

spend a gap year exploring interests through internships, volunteer experiences, a job or travel

seek or continue employment and on the job training

stay involved as a Girl Scout Adult volunteer

Other:

Name of College/University you plan to attend:

Major you plan to study:

Future Aspiration/Career Goal: *