EmailMe Form - GSOC Grad Girl Award Submission Form

Grad Girl Award Information

*Juliette Low Spirit of Girl Scouting Award: recognizes significant involvement and leadership in Girl Scout activities. GSOC recommends three Girl Scout references from a Girl Scout Troop Leader/Girl Scout Volunteer/Girl Scout Council Staff.

*Outstanding Senior Girl Scout Recognition: recognizes significant involvement and leadership in school, community, and Girl Scout activities. GSOC recommends one school reference from a teacher/coach/administrator, one community reference from a youth/faith/civic/community leader outside of school/Girl Scouts, and one Girl Scout reference from a Girl Scout Troop Leader/Girl Scout Volunteer/Girl Scout Council Staff.

All girls who submit will be notified of their status in April. Selected recipients will be recognized with Girl Awards at the Green & Gold Celebration on June 9, 2024.

Submission Tip

Girls should provide GSOC Girl Award criteria, one sentence involvement and leadership statements, and their Girl Scout story to their parent/caregiver and the three adults they ask to provide references, and enter the parent/caregiver statement and upload the references they obtain to this form.

If needed, the person providing the reference can email it to GSOC Customer Care at CustomerCare@girlscoutsoc.org with "GSOC Grad Girl Award" in the subject line.

Contact Information

Girl Scout Ambassador Grad Name: *

First Last

Girl Scout Ambassador Grad
Email address: *

(please enter email again to confirm)

Service Unit (Region) *

Troop Number: *

Girl Scout Juliettes (individually registered member not in a troop) enter "Juliette."

Troop Name (optional):

Troop Leader Name: *

First Last

Juliettes enter Parent/Caregiver/

Troop Leader
Email Address: *

Juliettes enter Parent/Caregiver.

(please enter email again to confirm)

Parent/Caregiver Name: *

First Last

Parent/Caregiver
Email Address: *

(please enter email again to confirm)

Grad Girl Award Submission Information

I'm graduating in the class of '24 and submitting this form because I want to be considered for the: *

Outstanding Senior Girl Scout Recognition

Juliette Low Spirit of Girl Scouting Award

How many years have you been a Girl Scout?

In one sentence, describe your Girl Scout involvement and leadership in the following: *


Entrepreneurship
Life Skills
STEM
Outdoors
Arts
National Program (Badges & Journeys)
Faith Awards
Highest Awards (Bronze, Silver, Gold)

Girl Scout Story
How have you grown because of Girl Scouts and what does Girl Scouts mean to you? (See GSOC Mission Messengers: What’s your WHY to help you form your personal story.)

Share your Girl Scout story in 100 words or less.
*WHY are you a Girl Scout?
*WHAT have you gained through the Girl Scout Leadership Experience?
*HOW does your family and community benefit from you being in Girl Scouts?

Be sure to describe 1) your significant involvement and leadership in Girl Scout activities and share specific examples of your participation and leadership in Girl Scout program activities (Entrepreneurship, Life Skills, STEM, Outdoors, Arts, and Awards) 2) your achievements in Girl Scout National Program (badges & Journey Awards), Faith Awards, and Highest Awards: Bronze, Silver, Gold, and 3) the ways you have helped your community through service and advocacy. *

Learn more about GSOC Mission Messengers and get the What's My Why? Girl Scout story worksheet at https://www.girlscoutsoc.org/en/members/for-girl-scouts/mission-messengers.html

Parent/Caregiver Statement

Share the impact of Girl Scouts in 50 words or less.

How has Girl Scouts prepared your girl for a lifetime of leadership and success? *

Girls obtain a statement of 50 words or less from their parent/caregiver.

References - Note to Girl Scout submitting

Three references are required to complete the GSOC Grad Girl Award Submission. In this section, Girl Scouts provide the name, email address, reference type (school, community, Girl Scout), relationship, length of time the person has known the Girl Scout, and upload the reference (preferred by GSOC staff) or email it to customercare@girlscoutsoc.org using provided instructions.

Reference 1

Reference 1 Name: *

First Last

Reference 1
Email Address: *

(please enter email again to confirm)

Reference 1 Type *

School

Community

Girl Scout

Reference 1 Relationship: *

*School: teacher/coach/administrator
*Community: youth/faith/civic/community leader outside of school/Girl Scouts
Girl Scout: Girl Scout Troop Leader/Girl Scout
*Volunteer/Girl Scout Council Staff

How long has Reference 1 known you? *

Reference 1

Upload your reference letter that describes your significant involvement and leadership in activities with specific examples. Use "(Girl Scout Name) Reference 1" as the file name.

If needed, the person providing the reference can email it to GSOC Customer Care at CustomerCare@girlscoutsoc.org with "GSOC Grad Girl Award" in the subject line and use "(Girl Scout Name) Reference 1" as the file name.

Reference 2

Reference 2 Name: *

First Last

Reference 2
Email Address: *

(please enter email again to confirm)

Reference 2 Type *

School

Community

Girl Scout

Reference 2 Relationship: *

*School: teacher/coach/administrator
*Community: youth/faith/civic/community leader outside of school/Girl Scouts
Girl Scout: Girl Scout Troop Leader/Girl Scout
*Volunteer/Girl Scout Council Staff

How long has Reference 2 known you? *

Reference 2

Upload your reference letter that describes your significant involvement and leadership in activities with specific examples. Use "(Girl Scout Name) Reference 2" as the file name.

If needed, the person providing the reference can email it to GSOC Customer Care at CustomerCare@girlscoutsoc.org with "GSOC Grad Girl Award" in the subject line and use "(Girl Scout Name) Reference 2" as the file name.

Reference 3

Reference 3 Name: *

First Last

Reference 3
Email Address: *

(please enter email again to confirm)

Reference 3 Type *

School

Community

Girl Scout

Reference 3 Relationship: *

*School: teacher/coach/administrator
*Community: youth/faith/civic/community leader outside of school/Girl Scouts
Girl Scout: Girl Scout Troop Leader/Girl Scout
*Volunteer/Girl Scout Council Staff

How long has Reference 3 known you? *

Reference 3

Upload your reference letter that describes your significant involvement and leadership in activities with specific examples. Use "(Girl Scout Name) Reference 3" as the file name.

If needed, the person providing the reference can email it to GSOC Customer Care at CustomerCare@girlscoutsoc.org with "GSOC Grad Girl Award" in the subject line and use "(Girl Scout Name) Reference 3" as the file name.

Girl Scout Photo

Please upload a headshot photo in Girl Scout uniform. *

Girl Scout Video

Record a 1-2 minute video, in Girl Scout uniform, sharing your Girl Scout impact story.

How have you grown because of Girl Scouts and what does Girl Scouts mean to you? (See What’s my WHY to help you form your personal story.)

*WHY are you a Girl Scout?
*WHAT have you gained through the Girl Scout Leadership Experience?
*HOW does your family and community benefit from you being in Girl Scouts?

Should others join Girl Scouts? Why?

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 hear your Girl Scout story!
• If recording your video from your cell phone, please hold the phone horizontally as it captures higher quality video.
• Your video and submission are considered together, weighted as much as a question – All pieces of your submission work together to help us understand you as a candidate for GSOC Girl Awards.

Video Link *

Enter your video link here.

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.

I own the rights to the attached photo and video and I agree for the photo and video provided to be used for media/publicity purposes. *

I agree

By clicking this box, I agree to the GSOC photo and video release form information.

I release Girl Scouts of Orange County (GSOC), its officers and employees, and each and all persons involved from any liability connected with the taking, recording, digitizing, or publication and use of interviews, photographs, computer images, video and/or sound recordings provided. I further waive all rights I may have to any claims for payment or royalties in connection with any use, exhibition, streaming, web casting, televising, or other publication of these materials, regardless of the purpose, irrespective of whether a fee for admission or sponsorship is charged. I also waive any right to inspect or approve any photo, video, or audio recording taken by GSOC or the person or entity designated to do so by GSOC *

I agree

By clicking this box, I agree to the GSOC photo, video, and audio release form information above.

I acknowledge that I have been fully informed of my consent, waiver of liability, and release of rights or claims to the submitted videos and photos. *

I agree

By clicking this box, I acknowledge that I have been fully informed of my consent, waiver of liability, and release of rights or claims to the submitted videos and photos.