Ex Officio Girl Board Member Position Application - Girl Scouts of ...

Council Use Only

Date Received: Time Received: Received By:

Ex Officio Girl Board Member Position Application Applicant must be 14 years of age or older by the application deadline, February, 28 2018. All applications will remain confidential. Copies will only be given to the Council GBM Application Review Committee during the selection process.

Application Contact Information: Name: DOB (mm/dd/yyyy): Address: City: Zip: Phone #1: Phone #2: Community: Area: Girl Email:

Parent/Guardian: Name: Address: City: Zip: Phone #1: Phone #2:

General Information: Age: Grade: School Campus: Home Schooled Projected High School Graduation Date: Current Level in Girl Scouts: Troop #:

Cadette

Senior

Ambassador

Individually Registered Member | Number of years in Girl Scouting:

I have earned or have received official committee approval for: Bronze Award Silver Award Gold Award

None

Girl Scouts of Southwest Texas | 210.349.2404 | www.girlscouts-swtx.org | 1

Applicants Name:

Briefly Describe award project(s): Bronze:

Silver:

Gold:

In what Leadership Activities have you participated through Girl Scouts?

*May include activities such as: PR Team, Kitchen Cabinet, Prometheus Club, Gamma Sigma, PA, Mentor Program, etc.

I have earned the following Leadership Awards through Girl Scouts: Program Aid

IT/VIT

CIT

Identify other organization in which you participated and/or held a leadership role in:


Please attach the following: 1. A letter of recommendation from an adult other than a family member (teacher, counselor, clergy, etc.) 2. A letter of recommendation from an adult Girl Scout (troop leader, Community Chair, pathway facilitator, etc.) 3. A 300-500 word, typed essay entitled: Leading with Courage, Confidence and Character. Include the following points: a. Your Girl Scout Leadership Experience history including special training, awards, etc. b. Extra-curricular activated that support your 360 Lifestyle c. Why you are a good candidate for the Ex Officio Girl Board Member position d. Your response to: “ There are so many other options...Why Girl Scouts?”

Submit this form with all attachments no later than 6 pm on Wednesday, February 28, 2018. GSSWT/ Attn: Sharoya Hall 811 N. Coker Loop San Antonio, TX 78216

OR

[email protected]

* Late or incomplete applications will not be submitted to the review committee. Applicant will be notified of the problem. Applicant must be a registered member at the time of submission. If time remains, corrections will be accepted. Past due will not be accepted. Applicants Name:

Please complete, sign and submit with application and all attachments: Applicant: I, , understand that is selected as an Ex Officio Girl Board Member for Girl Scouts of Southwest Texas, I will serve a one-year term without voting privileges, to be effective May 2018 Board Meeting. I further understand that I will be expected to attend Board Orientation and all subsequent board meeting including training sessions designed specifically for girl board members. I understand that I am responsible for my own transportation as GSSWT will not provide transportation. Applicant Signature: Date: Parent/Legal Guardian: I, , will support her in this role and ensure she has transportation to all required board member functions and training events. Parent/Legal Guardian Signature: Date:
