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Thank you for applying to become a volunteer with Girl Scouts of Colorado. Girl Scouts of Colorado provides equal opportunity to qualified adults. Please complete this application attaching additional pages as needed and return completed application to the address above.

Volunteer Application

This application is not a membership or training registration form or application for employment.
Application Date
MM
DD
YYYY
Name
First
Last
Address
Street Address
Apt./Ste.
City
State
Postal Code
Primary Phone
Secondary Phone
Email Address
I am

Interest Indicator

What is your volunteer availability? (check all that apply)
Time of days?
Length of time available to volunteer?

Troop volunteers: if known, please answer, if you do not know please enter N/A:

School and / or Troop #
Leader, Coleader, Product Sales, Day Camp ,Parent Helper etc.
Position applying for (Leader/Coleader, Product Sales, Day Camp, Parent Helper etc.)
With which grade level(s) (if relevant to position) do you prefer to volunteer?

How would you like to participate in Girl Scouting?

Volunteering with girls
If Choosing "other", please elaborate:
Indirect Service
If choosing "other", or volunteering for a specific event or program please elaborate:
List any specialized skills/work or volunteer experience/talents/interests
Which languages other than English do you speak proficiently?

Background

For the protection of the girls, Girl Scouts of Colorado requires the following information from all volunteers. All information provided will be kept confidential. FAILURE to provide the information below or discrepancies between the information below and the results of the criminal background history obtained from the reporting agency may result in non-appointment.
Are there any pending criminal charges against you?
Are there any pending civil charges against you?
Do not include minor traffic violations or any convictions as a youthful offender.
Have you ever been charged with a misdemeanor or felony, including, but not limited to charges related to theft, embezzlement, domestic violence or other violence against persons, property crimes, driving while impaired, driving under the influence?
Do not include minor traffic violations or any convictions as a youthful offender.
Have you ever been convicted of a misdemeanor or felony, including, but not limited to charges related to theft, embezzlement, domestic violence or other violence against persons, property crimes, driving while impaired, driving under the influence?
Have you ever been charged with child neglect or abuse?
Have you ever been convicted of child neglect or abuse?
Is there a registered sex offender living anywhere on your premises?
Have you ever had your driver's license suspended?
Have you ever had your driver's license revoked?
Explain any "yes" responses and if applicable, please indicate offense, date, location (including town/state) and case number.
I will complete and submit (with the $12 background check fee or financial assistance request) the Background Check.

References

ReferencesPlease list three (3) non-relatives who do not live at your address, can speak to your qualifications to be a Girl Scout volunteer and have agreed to serve as a reference. If you have experience volunteering or working with children, include references from those organizations.
Ref. 1: Name
Email or Phone number to contact
Ref. 2: Name
Email or Phone number to contact
Ref. 3: Name
Email or Phone number to contact

Agree

I understand that I must become a registered adult member of Girl Scouts of the USA, complete training required for this volunteer position, be at least 18 years of age r and have NO OUTSTANDING DEBT WITH A GIRL SCOUT TROOP OR WITH ANY GIRL SCOUT COUNCIL. If the position requires, I have the ability to keep accurate records and account for all monies received by the troop. Additional information may be requested for other positions. I authorize contact of references and verification of information for my placement in a position. I understand that misrepresentation or omission of facts requested is cause for non-appointment as a volunteer. I further understand that this Volunteer Application does not constitute a contract and that Girl Scouts of Colorado retains absolute discretion in selecting and retaining its volunteers.“Every adult volunteer in Girl Scouting must be selected on the basis of qualifications for membership, ability to perform the job, and willingness and availability to participate in training for it. In selection of adults, there shall be no discrimination on the basis of race, color, ethnicity, sex, creed, national origin, or socioeconomic status. There shall be no discrimination against an otherwise qualified individual by reason of disability or on the basis of age.” (Girl Scouts Blue Book of Basic Documents 2009 (21)). Girl Scouts of Colorado Council does not discriminate on the basis of age, race, color, creed, religion, sex, disability, national origin, citizenship, marital status, sexual orientation, gender identity, gender expression, or any other status besides the foregoing that is protected by federal, state or local law (Girl Scouts of Colorado Equal Employment/Affirmative Action Policy (approved 7/2008)).
Signature
Where did you receive information about volunteering for Girl Scouts (please mark all that apply?)
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