Guide and The Senior Section

World Scout Jamboree INTOPS 2018 Application Form

(For World Scout Jamboree 2019)

PLEASE NOTEREFERENCE AND PASSPORT SIZE PHOTO MUST BE ATTACHED FOR FORM TO

BE COMPLETE.Please delete starred* items where appropriate.

Name:

Address:

Telephone number:

/ Home:
Mobile:
(Please highlight your preferred contact number)

Email address:

/ Personal:
Parent/carer:
(must be included to allow contact to girls under 14)

Date of birth:

Girlguiding County:

Membership number:

(must be included)

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Girlguiding Details

Section in Guiding (Guides, The Senior Section/Leader)
Unit:

Travel Experience

Please give us details of your travel experience, including any within Girlguiding. (You do not need to have travelled outside of the UK to come to INTOPS)
What is the longest time you have been away from home without a family member?

Residential experience

How many nights in total have been away as a Guide/members of The Senior Section, indoor and outdoor ? ______(don’t worry if you haven’t done any!)
Are you or have you undertaken Duke of Edinburgh? Yes/No*Which level? Bronze/Silver/Gold*

About yourself

Please tell us a bit about yourself (hobbies, interests, ambitions, languages spoken etc.) and why you are interested in World Scout Jamboree INTOPS. Please stay within this box!
What are your main reasons/expectations for coming to World Scout Jamboree INTOPS?
Have you taken part in any Stage of ICE (International Community Experience) with Girlguiding Scotland?
Yes/No*

Health

Do you have any health issues? For example; do you suffer from asthma, chest complaint, wheezing or hay fever, migraine, fits or faints, bad period pains, diabetes, nervous disorder or ANY other illness or disability?
Yes/No* If yes please give details:
Do you have any Dietary requirements, allergies, etc. whether religious or medical: Yes/No*
If yes please give details:
Note: the information is required for your safety & to ensure you are not chosen for an event which may not be suitable. Having an illness or disability will not mean exclusion from any event. However, for some trips you may be required to obtain a current doctor’s certificate confirming your fitness to participate.

Other information

Have you been to Girlguiding Scotland INTOPS before? Yes / No
If yes, please state when:
(Please note – it is fine for you to come to INTOPS more than once )
What other international opportunities would you like to hear about at INTOPS?

I understand it is my responsibility for the form to be countersigned as attached. Girlguiding Scotland will be unable to accept forms which are incomplete.

References MUST be submitted directly to SHQ by email to or via post for the attention of Joana Duarte, Guiding Development Assistant at 16 Coates Crescent, Edinburgh, EH3 7AH.

I confirm that I am able/unable to attend the World Scout Jamboree Intops event to be held at Girlguiding Glasgow Headquarters (15 Elmbank St Ln, Glasgow G2 4PB)on 10th February 2018. Please circle the option that applies to you.

Closing Date for applications and references submission is Monday 29th January 2018 by 5pm (Please allow sufficient time for the form to be signed and received by SHQ before this date).

Candidate Signature: ……………………………………………………………………………………….Date: ………………………………

Signed…………………………………………………………………………………………………………………………………………………………….

Parent/Guardian (if under 16)Date

Read and supported by:

Signed ………………………………………………………………………………………………………………………………………………………….

LeaderDate

Signed ………………………………………………………………………………………………………………………………………………………….

County commissionerDate

Signed ………………………………………………………………………………………………………………………………………………………….

County International AdviserDate

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Please return all application and reference forms to Girlguiding Scotland, for the attention of Joana Duarte, Guiding Development Assistant at 16 Coates Crescent, Edinburgh, EH3 7AH or via e-mail to before the closing date above.

**Please note the first briefing weekend is Friday 2nd March – Sunday 4th March 2018 at Craigs site at Toprphichen.**

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