EmailMe Form - Girl Scouts Celebrate Leadership Reference Form

Celebrate Leadership Girl Representative must:

1. Be in grade K-11 (grade 1-12 at time of the Celebrate Leadership Event in Fall).
2. Be a registered member of the Girl Scouts of Orange County.
3. Have parent permission to participate if selected.

Note: Girls must be available for an interview if requested, and if selected, must be able and willing to participate in 3 rehearsals, a special event with women honorees, and the Celebrate Leadership event in the Fall.

Girl's name: *

First Last

Reference name: *

First Last

Reference email address: *

(please enter email again to confirm)

Reference Phone # *

### - ### - ####

Length of time Reference has known the Girl: *

Relationship to Girl: *

Girl's email address (optional)
:

(please enter email again to confirm)

Leadership Skill Inventory

Which leadership quality or qualities have you seen the nominee demonstrate?

Check 2-3 qualities. *

Why should the selection team consider this girl for the Celebrate Leadership program?

- What has the girl achieved? (awards, goals, honors, etc.)

- How has the girl demonstrated leadership?

- What leadership traits would she bring to the Celebrate Leadership program? *

Celebrate Leadership Girl Representative must:

Thank you for providing a reference for a Girl Scout for the Celebrate Leadership program.