GSUSA Cadette, Senior or Ambassador Service Bar Community Organization Approval Application This award is earned by making a difference in the community and practicing the values of the Girl Scout Law. It serves as a way for girls to get involved with a cause they care about, learn new skills, share their talents and help others.Please submit this form to request the required approval for your site.GSGLA will:1. Review organization.2. Review described services.3. Respond to applicant via email within three (3) weeks.Candidate InformationGirl Scout's Name:* First Last Email:* Enter Email Confirm Email Home or Cell Phone:*Girl Scout Program Level:*CadetteSeniorAmbassadorGrade:*6789101112Service Unit:*400 Rancho Foothills401 Alhambra/Rosemead/Santa Fe Trails402 Bonita403 Claremont404 Anita Oaks/Mission Camellias405 Chino406 Canon Trails407 CV/Glendale408 Pomona409 River Trails411 Upland412 La Canada414 Monrovia/Duarte415 Las Caballeras416 Puente Hills418 San Marino419 Glendora420 South Pasadena421 Covina Oaks422 West Covina425 Crown Poppy426 Mt. View427 Campo Verde428 Ontario/Montclair429 Gateway450 Chino Hills501 Compton/Lynwood502 Bellflower/Hollymount503 Belmont504 Lachen505 Holly Hills506 Highland Rose507 Lakewood508 Alamitos/Marina509 Westchester/Del Rey511 Culver City512 RDE/Sil-Dom513 Northeast Hills515 El Segundo516 East LA517 Southwest SU518 Center City519 Lawthornes522 La Brea Heights524 King Harbor526 North Redondo528 Manhattan Beach529 South Bay Four533 Marina538 Pali/Mali540 San Pedro542 Santa Monica Bay543 S. Torrance545 Torrance546 PV/Penn601 Burbank604 Westside605 Rancho Calabasas606 Las Virgenes608 Palmdale/Acton/Agua Dulce612 Golden Savannahs616 Canyon Star617 Sagebrush624 Woodland Hills636 Kern640 Mission Rose641 Twin Oaks642 Heart of the Valley643 Stoneyridge644 Magnolia647 Lancaster649 Coyote Canyon650 North RiverTroop Number:* Parent/Guardian InformationParent/Guardian Name:* First Last Parent/Guardian Email:* Enter Email Confirm Email Parent/Guardian Phone:*Troop Leader InformationTroop Leader Name:* First Last Troop Leader Email:* Enter Email Confirm Email Troop Leader Phone:*Community Agency InformationName of the Organization/Agency:* Date you wish to begin service:* MM slash DD slash YYYY Are you working directly or indirectly with your parent/leader for this service?* Yes No Comments:Contact person's name at the location with whom you will be working:* First Last Contact person's email:* Enter Email Confirm Email Contact person's phone number:*Phone Extension: The location's website:* Organization's address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Describe details of the service to be provided:*Girl Scout cannot earn money for other organizations.List the skills and safety certifications you bring to the opportunity to ensure your safety and those with whom you are serving with to complete the special activity/service. Using 600 words or less, please provide a short response for the questions below.Skills & Certifications:*600 words maximum.What challenge(s) do you foresee while you prepare for your service/goal?*600 words maximum.What challenge(s) do you foresee while completing your service/goal?*600 words maximum.How do you plan to meet those challenge(s)?*600 words maximum.Candidate Signature:*Date:* MM slash DD slash YYYY CAPTCHA
