Gshg Volunteer Application Form PDF Details

Have you ever thought about lending a helping hand to those in need? Volunteering is an important way to contribute positively to your community and learn new skills. Gshg offers the opportunity for individuals looking for meaningful volunteer experiences through our Volunteer Application Form. Our form simplifies the process of finding suitable roles with reputable organizations and provides customized support based on each individual’s needs and interests, so that everyone has access to valuable volunteering opportunities. Read on to find out how simple it is to apply!

Form NameGshg Volunteer Application Form
Form Length5 pages
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesVolunteer Application for Printing girl scout online volunteer application historic ga form

Form Preview Example


FOR OFFICE USE ONLY (Membership Manager)

Application date:

Recruited by (staff):

Received via: r Email r Paper r Web

Verified personal data and signature:

PERSONAL INFORMATION (Please print clearly.)

Last Name:






First Name:







Middle Name:
































Daytime Phone: ( )





Evening Phone: (







Cell Phone: (
















Email Address:






















Gender: rFemale



























Employer’s Address:











Have you ever been a Girl Scout? r No r Yes, as a girl for


years. r Yes, as an adult for















What is the best time to contact you? r Morning r Afternoon r Evening
















































Girls can participate in Girl Scouts in many different ways. How are you able to support them?

PREFERRED VOLUNTEER SERVICE: (Select all opportunities that you are interested in.)

rDirect service (working directly with girls)

Which grade levels are you interested in working with?

r K – 1st Grade: Girl Scout Daisies

r 2nd – 3rd Grade: Girl Scout Brownies

r 4th – 5th Grade: Girl Scout Juniors

r 6th – 8th Grade: Girl Scout Cadettes

r 9th – 10th Grade: Girl Scout Seniors

r 11th – 12th Grade: Girl Scout Ambassador

Troop Support: r Troop leadership team

r Parent volunteer (chaperone, transportation, cookies)

rCouncil and regional area volunteer service (working with council staff and other troops/groups): Special Events: r Activity facilitator r Event planning, set-up, registration, etc.


Participate with Travel Groups: r Chaperone r Trip coordinator r Fundraising

rSpecial Interest Group:

Volunteer (6-8 week opportunity): What is your special interest?

Outdoor Education: r Day/resident camp r Aquatic studies r Environmental education


GSHG FORMS (8/2012)




rIndirect service (not working directly with girls but supporting adults and council staff who work directly with girls)

Working with Adults:

r Coach/mentor

r Fund development

r Adult learning facilitator


r PR liaison

r Recruiting

r Accounting


r Trip Planning

r Event Coordination

r Quality Assurance

rService Unit team member/administrative volunteer

r Community Cultivation

r Product Sales

r Customer Service


rOther (Please specify):



Ideal Volunteering Duration:


r Occasional (e.g., single events)

r Four to six months r Seasonal r One year

r One to twelve weeks


References: List two (2) persons not related to you who are familiar with your qualifications for volun- teering with Girl Scouts. If you have previous experience as a volunteer, one reference should be from that organization.
























Phone: (











































Phone: (












Girl Scouts of Historic Georgia is dedicated to the safety of the girls and adults in our membership. It is mandatory to complete the following section. Failure to complete this application in its entirety will disqualify your application. This information is confidential and for internal use only.

Has your driver’s license ever been suspended or revoked?

r No

r Yes

Have you ever been convicted of a criminal offense?

r No

r Yes

Have you ever been convicted of a crime involving bounced checks or stolen money?

r No

r Yes

Have you ever been convicted for the use or sale of illegal drugs?

r No

r Yes

Have you ever been convicted of child neglect or abuse?

r No

r Yes

Has anyone in your household been convicted of a felony/crime/child abuse?

r No

r Yes

Is anyone in your household a registered sex offender?

r No

r Yes

If you answered “yes” to any question:










State the offense:


Date of offense:


Location of offense:













Do you presently have a valid Driver’s License? r Yes r No







Driver’s License #










GSHG FORMS (8/2012)



Please check one:

rI have visited the following site to complete my background check: - (“Historic” is the password.)

Date completed:

Please sign the bottom of this application before submitting it. The screening must be completed before your application will be approved. If you completed the screening online, you do not complete the information below, except for your signature.

rPlease complete my background check.

The following is my true and complete legal name, and all information about it and my background is true and correct to the best of my knowledge. I understand that all inquiries on this form are used for identification purposes only in order to conduct a background check that is being conducted for legitimate business reasons, specifically for volunteer and/or continued volunteer purposes.

* Responses to sex, age, and race inquiries are voluntary, and choosing not to respond will not preclude hire or promotion.

Date of Birth:

Social Security Number:





Other Names Used (including maiden name):

I have the right to make a request to IntelliCorp Records, Inc., upon proper identification, to request the nature and substance of all information in its files on me at the time of my request, including sources of information, and the recipients of any reports on me which IntelliCorp Records, Inc. has previously fur- nished within the two year period preceding my request.

I certify that all of elements of the personal data I have provided are true, accurate and complete. I un- derstand and agree that any omission, false statement, misleading statement, or answer made by me on my application or any supplements to it and in any interviews will be sufficient grounds for rejection of volunteer application and my discharge after approval.



Return this application, authorization, and personal data sheet via e-mail or in a sealed envelope marked

“confidential” to your nearest service center to the attention of the Volunteer Management Specialist/Manager.


Background Check Status: r Complete r Inquired r Pending

Background Date:

Criminal Background Result:

r Report Found

r No Report Found

Expiration Date:





GSHG FORMS (8/2012)

Disclosure and Written Authorization to

Obtain a Consumer Report or Investigative Consumer Report

This is an application for a volunteer position in Girl Scouting for which there is no monetary com- pensation. In the selection of volunteers, there shall be no discrimination against an otherwise quali- fied individual on the basis of race, color, ethnicity, sex, religion, creed, national origin, socioeconom- ic status, age, disability, marital status, veteran status, or on any other basis prohibited by federal, state, or local law.

I understand that any misrepresentation, omission or falsification of any fact from this application or during any interview will be cause for rejection of this application or dismissal from volunteer ser- vices.

I understand that in connection with my application for volunteer services, Girl Scouts of Historic Georgia (GSHG), IntelliCorp, their agents, assigns or any other authorized third parties (collectively, the “Investigators”) may be performing, requesting, obtaining or conducting a background check on me. This background check may include an inquiry into my employment history, education, general character or reputation, work experience, volunteer experience, driving, and/or criminal history. However, unless my position involves handling money or having access to monies and/or transfer- able monetary instruments, my credit history will not be checked.

I understand that GSHG may rely on any part or all of this information in determining whether to extend an offer of volunteer duties to me. I further understand that if any adverse action is taken by GSHG, or if GSHG chooses not to extend an offer of volunteer duties to me based on the informa- tion, that I will be provided a copy of such information along with a summary of my rights under the Fair Credit Reporting Act.

I understand that the background check, which may be performed by Investigators, is being per- formed as part of the process to evaluate me prior to volunteer assignments, and is not conducted for any purpose other than in connection with my application for volunteer duties.

GSHG FORMS (8/2012)


I have read and understand the foregoing Disclosure, and authorize Girl Scouts of Historic Georgia to obtain and rely upon consumer reports or investigative consumer reports in considering me for a volunteer position. By my signature below, I authorize GSHG to obtain any such reports and to share the information received with any person involved in the volunteer decision about me. I hereby release any and all Investigators, including IntelliCorp, from any and all liability related to the procure- ment or disclosure of any information provided by me or obtained about me in connection with my application with GSHG. I further direct and authorize Investigators to conduct the background check and further authorize any third parties who may be the custodians of or be in possession of the requested information to disclose such information to Investigators in connection with this back- ground check.

As a volunteer with GSHG I agree to:

rComply with the membership requirements and register as a member of the Girl Scout organization

rProvide up-to-date information if there are any changes to volunteer application and background check data

rParticipate in council and Girl Scouts of the USA (GSUSA) orientations, trainings and

learning opportunities

I also agree that this Disclosure and Authorization in original, faxed, photocopied, or electronic (in- cluding electronically signed) form will be valid for any consumer reports or investigative consumer reports that may be requested about me by or on behalf of GSHG.

Applicant Signature


GSHG FORMS (8/2012)