Girl Experience Board Application

Girl Experience Board Application

Completed applications should be emailed to by Friday, October 20, 2017

Name: / Telephone:
Address:
City: / State: / Zip:
E-mail: / Parent/Guardian e-mail:
Your birth date: / Age as of August 1, 2017: / School Grade for 2017/2018:
Please confirm the following:
I am between the ages of 14 and 17 as of August 1, 2017
I am able to work cooperatively in a team of my peers.
I am comfortable with traveling, helping to lead a program, and working out of doors
I am able to commit to the Board through November 2018.
Girl’s Signature: Date:
Digital signatures are accepted – see acknowledgement on the last page of the application

Part 1:Skills Inventory
Please check the areas from this list that you have had experience in. Then, please use the space provided below to expand on the three skills you consider your strongest and why:

Public Speaking/PresentationsTeaching Younger Girls

EngineeringCommunicating with adults

ScienceTechnology

Mathematics Social Media

Writing Photography

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Part 2: Short Answer Questions

In lieu of written answers, a video essay answering the questions in PART TWO of the application will also be accepted if that is your preferred method for sharing the information requested. The video must be uploaded to Dropbox here:
Have you had the opportunity to lead a project, event, or activity?If yes, briefly describe length of time, when, and what you gained from the experience. If no, please describe why you are ready for your first leadership experience. If extra space is needed, please attach an additional sheet of paper.

Please share why you are interested in joining the Girl Experience Board, and why you think you would be an asset to the team.

Please list activities (sports, clubs, or other activities) you are involved in, and include approximately how many hours per week you dedicate to each activity. If the activity is not year-round, please indicate which month(s) the activity takes place.

Activity / Hours per week / Which months?
1.
2.
3.
4.
5.

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Part 3: Signatures

Applicant Understanding:

I have filled out this application truthfully and to the best of my ability. I feel I am able to participate in tasks of the Girl Experience Board. If I am selected, I have definite intentions of becoming part of the team and plan to accept participation. I understand that this commitment requires me to be involved through November 2018.

By checking the box next to each date below, I am indicating that I am available and that the date will be added to my calendar upon acceptance to the team. Please note, preference is given to those applicants who are available to participate in the Girl Experience Board program completely. Attendance at all retreats is expected, as the teammates rely on each other for completion of the work of the board.

December 1-3: Retreat One (River Ranch)

January 19-21: Retreat Two (River Ranch)

February: Annual Meeting (date announced later, usually the first Saturday of the month)

March 23-25: Retreat Three (River Ranch)

April 28: Teen Conference (TBD)

May 18-20: Retreat Four (Robbinswold)

By checking the box at left, I understand that there is a $100 program fee associated with this program.

Digital Signatures are accepted.

By checking the box at left, you acknowledge that you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.

Applicant’s signature: Date:

Parent/Guardian permission:

I am aware that my Girl Scout is applying to be a part of the Girl Scouts Western Washington Global Action Team. To the best of my knowledge has a clear understanding of the duties applied for, and if selected, has my permission to participate.

I grant Girl Scouts Western Washington permission to share my Girl Scout’s e-mail address with other program participants.
Yes No

Digital Signatures are accepted.