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    Adult Record Fillable

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    api-261948230

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Adult Record Fillable

    Uploaded by

    api-261948230
    308 views4 pages

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    adult record fillable

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    308 views4 pages

    Adult Record Fillable

    Uploaded by

    api-261948230

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Adult Record

    Page 1 of 4
    August 2012

    Adult Record

    Form to be used by adult volunteers to record their Girl Scout service and learning
    opportunities. Form should be maintained by the individual, updated regularly, and a
    copy submitted to the council or to service unit, upon request.

    Volunteer Name
    Phone Numbers: home work cell
    Email Address:

    Mailing Address:
    Street City State Zip
    Were you in Girl Scouts as a girl? Yes No If yes, how many years?
    Membership Year first registered as an adult Lifetime Member? Yes No
    Years of Service Pins 5 years ________ 20 years ________ 35 years ________ 50 years ________
    10 years _______ 25 years ________ 40 years ________ 55 years ________
    15 years _______ 30 years ________ 45 years ________ 60 years ________

    TROOP/GROUP PATHWAY POSITIONS HELD


    Record volunteer position(s), troop/group number, and years you held position(s) (leader, advisor, assistant leader/advisor,
    troop product sales chair, group committee member).
    Position Group # Years Held



















    Adult Record
    Page 2 of 4
    August 2012
    LOCAL AREA LEVEL POSITIONS HELD
    Record activity, date, and position you held in local service units or area neighborhoods.
    Position/Activity/Committee Group # Dates/Years Held
















    COMMUNITY & COUNCIL LEVEL POSITIONS HELD


    Record activity, date, and position you held in regional areas, communities or Girl Scout councils.
    Position/Activity/Committee Area/Council Dates/Years Held

















    Adult Record
    Page 3 of 4
    August 2012
    ADULT LEARNING
    List trainings in which you have participated; include leadership, first aid, skills, etc, both for traditional classes and
    workshops, as well as online learning opportunities (online modules and webinars).
    Course Taken Hrs Date Location/Organization





































    Adult Record
    Page 4 of 4
    August 2012
    What awards/recognition have you received in Girl Scouting? List dates if possible.
    AWARD/RECOGNITION DATE
    Outstanding Volunteer Award (earned prior to August 2011)

    Outstanding Leader Award (earned prior to August 2011)

    Leadership Development Pin (earned prior to August 2011)

    Leaves Received: Green 1
    st
    ______ 2
    nd
    _____ 3
    rd
    _____ 4
    th
    ____ 5
    th
    _____

    Silver 1
    st
    _____ 2
    nd
    _____ 3
    rd
    _____ 4
    th
    ____ 5
    th
    _____

    Gold 1
    st
    _____ 2
    nd
    _____ 3
    rd
    _____ 4
    th
    ____ 5
    th
    _____

    Trainers Pin: Apprentice

    Experienced

    Master

    Volunteer of Excellence (new starting August 2011)

    Appreciation Pin

    Honor Pin

    Thanks Badge

    Thanks Badge II


    Activities involved in and/or awards received other than Girl Scouts (including the Presidents Volunteer Service Award)
    Activity/Award Date

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