EmailMeForm
Girl Scout Advisory Board to GSUSA Interest Form
Girl Scouts in grades 7-11 for Fall 2022 complete this interest form by 2/22/23 to be considered as a GSOC Nominee to apply for the Girl Scout Advisory Board to Girl Scouts of the USA.
Learn more about the Girl Scout Advisory Board's work in the GSUSA's 2022 Stewardship Report here:
https://www.girlscouts.org/content/dam/gsusa/forms-and-documents/members/ncs-con23/GSUSA_Stewardship-Report-2022.pdf#page=36
Name:
*
First
Last
Birthday
*
MM
/
DD
/
YYYY
Email
*
Phone
*
###
-
###
-
####
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 2022 (girls in grade 7-11 for Fall 2022 are eligible to apply)
*
7
8
9
10
11
Racial/Ethnic Background
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
*
###
-
###
-
####
Region and Service Unit
*
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 West
Northeast - (204) Orange Villa
Northeast - (206) Santiago Creek
North Central - (102) Fullerton/La Habra
North Central - (301) Seal Beach
North Central - (302) West Garden
North Central - (401) Garden Valley
Central Coast - (303) Huntington Harbor
Central Coast - (304) Ocean View
Central Coast - (305) HB Pierside
Central Coast - (306) Surf City
Central - (205) Anaheim Hills
Central - (402) Tustana
Central - (403) Tustin East
Central - (404) Newport Mesa
Central - (405) Newport Harbor
Mid South - (501) South Irvine
Mid South - (502) Heart of Irvine
Mid South - (503) North Irvine
Mid South - (602) Lake Forest
South Coast - (504) Laguna Beach
South Coast - (505) Aliso Viejo
South Coast - (506) Niguel Coast
South Coast - (507) San Clemente
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
Comadres - (701) Comadres
Troop Leader/Advisor Name:
First
Last
Troop Leader/Advisor Email
Troop Leader/Advisor Phone
###
-
###
-
####
Short Answer Questions: Each answer must be 1,000 characters or less.
What interests you about applying for the Girl Advisory Board to GSUSA?
*
Please tell us 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.
*
Provide an example of a time that you worked well on a team, including experiences with both peers and adults.
*
What passions or talents do you have that will benefit the Girl Advisory Board to GSUSA?
*
What skills or experiences make you an excellent candidate for the Girl Advisory Board to GSUSA?
*
Members of the Girl Scout Advisory Board contribute to the national strategy at GSUSA by offering feedback and new ideas to staff members on key initiatives. Choose one prompt to answer.
*
What is one way for Girl Scouts to become a stronger organization for girls for the next 110 years?
What is one way for Girl Scouts to increase revenue?
What is one way for Girl Scouts to increase the value and recognition of the Girl Scout brand and experience with a wider audience?
Using the prompt you selected above, give us your best idea.
*
Please describe your vision for the future of Girl Scouting.
*
Video: Record yourself answering the question below in about one minute.
*How do you embody the qualities and character of a Girl Scout?
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.
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 work with two nominees to complete the application by the deadline.