GSGWM Alumnae Registration Form

1. Welcome!

Thank you for your interest in joining the GSGWM Alumnae Association! Membership is free, but currently only registered members of GSUSA will qualify for discounts and other opportunities reserved for registered members.

We are planning an exciting year filled with social events, community service, and networking opportunities.

Please take a few minutes to complete this registration form. Once you are registered, you will start receiving our newsletter as well as information regarding upcoming events and opportunities.

If you have any questions, please contact Customer Care at customercare@girlscoutsgwm.org or call 888-474-9686.

Thank you!

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* 1. Please provide the following information:

Title (Ms/Mr)

First Name

Last Name

Maiden Name

Address

Address 2

City/Town

State

Zip

Email address

Phone number

Occupation

Employer

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* 2. Please enter your date of birth

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* 3. When were you a member of Girl Scouts?

I was a girl member (under 18 years old)

I was/am an adult member (18 years and older)

I was a member as a girl and also as an adult.

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* 4. Are you currently registered as a Girl Scout member?

I am a lifetime member.

I am currently registered.

I am not currently a registered member.

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* 5. Please indicate any adult recognitions you have received as a volunteer. (Also indicate what year you received the recognition if known.)

Volunteer of Excellence

Outstanding Leader

Outstanding volunteer

Appreciation Pin

Honor Pin

Thanks Badge

Thanks Badge II

Year awards were received, if applicable, or other awards received:

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* 6. Please indicate any awards you earned as a girl member.

The Golden Eaglet

First Class Award

The Curved Bar

The Gold Award

The Silver Award

The Bronze Award

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* 7. What interests you about the GSGWM Alumnae Association? (Please select all that apply.)

Connecting with other alumnae.

Networking with others in general.

Socializing with others.

Participating in community service or other community involvement activities.

Attending alumnae events and activities.

Staying current on what is happening at GSGWM.

Working directly with girls in Girl Scouting.

Programs and events.

Other (please specify)

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* 8. Please indicate which type of events/activities you may be interested in attending. (Please select all that apply.)

Alumnae-only social events.

Overnight event on a GSGWM property.

Alumnae dinner or luncheon in your area.

Daytime camp event with fun activities.

Casual coffee hour in your area.

Networking happy hour event in your area.

One-day travel event to locations of interest throughout the council.

Long distance, multi-day travel to locations of interest.

Group service activities.

Mentoring opportunities with current Girl Scouts.

Share favorite Girl Scout memories.

Please let us know what other types of alumnae activities you would be interested in attending.

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* 9. Where are you located?

Northwestern Vermont

Northeast Kingdom

Central Vermont

Southern Vermont

Northern New Hampshire

Southern New Hampshire

New Hampshire Seacoast

Other/comments:

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* 10. Welcome to the GSGWM Alumnae Association! We appreciate you taking the time to complete this information as it will help us create a rich and rewarding alumnae experience for the adults in our council.

If you have any further comments or have questions, please let us know:

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* 11. What is your current employment status?

Employed for wages

Self employed

Homemaker

Student

Retired

Unemployed

Other

Please indicate your place of employment, if applicable.

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100% of survey complete.

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* 1. Please provide the following information:

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* 2. Please enter your date of birth

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* 3. When were you a member of Girl Scouts?

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* 4. Are you currently registered as a Girl Scout member?

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* 5. Please indicate any adult recognitions you have received as a volunteer. (Also indicate what year you received the recognition if known.)

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* 6. Please indicate any awards you earned as a girl member.

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* 7. What interests you about the GSGWM Alumnae Association? (Please select all that apply.)

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* 8. Please indicate which type of events/activities you may be interested in attending. (Please select all that apply.)

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* 9. Where are you located?

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* 10. Welcome to the GSGWM Alumnae Association! We appreciate you taking the time to complete this information as it will help us create a rich and rewarding alumnae experience for the adults in our council.If you have any further comments or have questions, please let us know:

Question Title

* 11. What is your current employment status?

* 10. Welcome to the GSGWM Alumnae Association! We appreciate you taking the time to complete this information as it will help us create a rich and rewarding alumnae experience for the adults in our council.

If you have any further comments or have questions, please let us know: