(Required fields have a "* ".)
Last Name *
A value is required.
First Name *
A value is required.
Maiden or Previous Name
Mailing Address *
A value is required.
Town *
A value is required.
State *
Select one
New Hampshire
Vermont
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Massachusetts
Maryland
Michigan
Minnesota
Mississippi
Montana
Missouri
Nebraska
Nevada
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
Please select an item. A value is required.
Zip Code *
A value is required.
Phone *
A value is required.
E-mail *
A value is required.
Have you lived or worked in the state of Massachusetts within the last 5 years? *
No
Yes
Please select an item.
Interest Indicators
Have you ever been a registered member of Girl Scouts?
Yes
No
If yes, number of years as a girl:
numbers of years an adult:
Are you over 18 years of age?
Yes
No
Please select an item.
Have you ever been convicted of a felony?
Yes
No
Please select an item.
Do you have a valid driver's license?
No
Yes
Driver's license #
A value is required. State of issue:
Select one
New Hampshire
Vermont
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Massachusetts
Maryland
Michigan
Minnesota
Mississippi
Montana
Missouri
Nebraska
Nevada
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
Expiration Date:
A value is required. Invalid format.
What volunteer position are you applying for? *
What program level would you like to volunteer with?
Troop number you would like to volunteer with (if applicable):
Troop leader or co-leader's name (if applicable):
In which community would you like to volunteer (if applicable)?
Recruited or referred by:
Special skills or talents you wish to share:
Employment or Volunteer Experience
Please provide information for your most recent employment or volunteer position.
Organization/Company Name
Complete Mailing Address
Dates:
From
To
Reason for Leaving
Responsibilities
Supervisor's Name
Telephone
References *
List three persons who are NOT relatives who have agreed to serve as a reference, and who can speak to your qualifications to be a Girl Scout volunteer. Please provide a complete mailing address or email address for each reference, or your application processing may be delayed.
When listing reference's email addresses please DO NOT use Facebook emails.
Please notify the people you have listed as references so they will be aware that we will be contacting them.
Name *
A value is required.
Relationship *
A value is required.
Complete Mailing Address *
A value is required.
Telephone *
A value is required.
Email *
A value is required.
Name *
A value is required.
Relationship *
A value is required.
Complete Mailing Address *
A value is required.
Telephone *
A value is required.
Email *
A value is required.
Name *
A value is required.
Relationship *
A value is required.
Complete Mailing Address *
A value is required.
Telephone *
A value is required.
Email *
A value is required.
This is an application for a volunteer service position with Girl Scouts of the Green and White Mountains for which there is no monetary compensation.
There will be no discrimination against an otherwise qualified adult volunteer by reason of disability or on the basis of age. Furthermore, there will be no discrimination on the basis of race, color, ethnicity, sex, creed, national origin, or socioeconomic status.
I understand that any misrepresentation, omission, or falsification of any fact on this application or during any interview will be cause for rejection of this application or dismissal from volunteer services.
Electronic Signature Authorization :
Signature:
A value is required.
* Click checkbox to sign electronically, then enter your full name.
Date:
Additional Comments:
You will be contacted by a Green and White Mountains staff member or a volunteer from your town.
If you have not been contacted within two weeks, please call 888.474.9686.