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Girl Awards Request Form
Please use this form to submit your request for a girl to be recognized as a Graduating Senior, Ten Year Award recipient, Gold Award recipient, or Bridge to Adult recipient at the GSOC Recognition Event.
Please submit one request form per girl for the following:
• 12th grade graduating Senior Girl Scout Ambassador
• Ten Year Award recipient
• Girl Scout Gold Award recipient
• Bridge to Adult Award recipient
Girls will be recognized at the Girl Scouts of Orange County Recognition Event.
Deadline: For girls to be recognized at the Recognition Event, this form must be submitted no later than NEW Girl Awards Deadline: February 4th @ 6:08 pm (2-4-6-8) annually
For questions, please contact Lesley Finch at lfinch@@girlscoutsoc.org.
Name of Girl:
*
First
Last
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
*
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Email address:
*
(please enter email again to confirm)
Region and Service Unit:
*
Please select
Northwest - (101) Brea
Northwest - (103) La Cypress Park
Northwest - (104) Anaheim
Northwest - (105) Los Alamitos/Rossmoor
Northeast - (201) Placentia
Northeast - (202) Yorba Linda West
Northeast - (203) Yorba Linda East
Northeast - (204) Orange Villa
Northeast - (205) Anaheim Hills
Northeast - (206) Santiago Creek
North Central - (102) Fullerton/La Habra
Central Coast - (301) Seal Beach
Central Coast - (302) West Garden
Central Coast - (303) Huntington Harbor
Central Coast - (304) Ocean View
Central Coast - (305) HB Pierside
Central Coast - (306) Surf City
Central - (401) Garden Valley
Central - (402) Tustana
Central - (403) Tustin East
Central - (404) Newport Mesa
Central - (405) Newport Harbor
South Coast - (501) South Irvine
South Coast - (502) Heart of Irvine
South Coast - (503) North Irvine
South Coast - (504) Laguna Beach
South Coast - (505) Aliso Viejo
South Coast - (506) Niguel Coast
South Coast - (507) San Clemente
South County - (602) Lake Forest
South County - (603) Rancho Portola
South County - (604) Mission Viejo
South County - (605) Rancho Trabuco
South County - (606) Oso Valley
South County - (607) Ladera Valley
Troop Number:
Troop Name (optional):
Graduating Senior Girl Scout Ambassador
Girls in 12th grade will be featured as part of the social time prior to the start of the program and will receive a certificate. This is an opportunity to share a few highlights about our Girl Scout Ambassadors who are graduating seniors.
Graduating Senior?
*
Yes
No
Number of years in Girl Scouting?
Future Plans (i.e. plans for college/employment/career choices)
One or two sentence per girl is sufficient.
Please submit a photo.
This can be an official Girl Scout Gold Award picture, a school portrait, or other photo of the girl.
Ten Year Award
Girls who have been registered members for 10 years or more will be presented with the Ten Year Award at the Recognition Event.
Ten Year Award recipient?
*
Yes
No
Ten Year Awards will be presented to girls who have been registered as members for ten years or more. Girls must be present to receive the award.
Girl Scout Gold Award
Girls who have earned the Girl Scout Gold Award will be recognized at the Recognition Event.
Gold Award Girl Scout?
*
Yes
No
Girl Scout Gold Award recipients for the current membership year will be recognized.
Bridge to Adult Award
Girls who have earned the Bridge to Adult Award will be recognized at the Recognition Event.
Bridge to Adult Award recipient?
*
Yes
No
Girls are "on their honor" to complete steps found in The Girl's Guide to Girl Scouting and online at www.girlscouts.org.
Questions? Comments?