Badgerland Girl Scout Membership Area / Community Event Survey

Dear Community Event Planners and Coordinators,

Girl Scouts is about discovering more about who you are while having fun, connecting with other Girl Scouts and taking action in your local community. What better way to Discover, Connect and Take Action than with a Membership Area or Community Event. As the Troops and Resources Program Manager I am so excited to hear about all of the wonderful events that you are planning.

The information I am asking for will help us share with our board the fantastic programs that you are running in your local communities. It will also help us when we are scheduling Badgerland sponsored programs. This event survey is required for all events advertised to the Membership Area or community. If you have a flyer for your event please email the flyer to me. I will then work directly with your Membership Services Specialist to market your program.

Please let me know if you need any help in planning your event or if you have event planning questions.

I can't wait to hear from you and learn about all of your fantastic events!

Courtney Feuquay
Program Manager: Troops and Resources
608.237.1157 or 800.236.2710 x1157
feuquayc@gsbadgerland.org.

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* 1. Name of Event:

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* 2. Topic / Theme of event:

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* 3. What Membership Area or community / communities will be invited to the event?

MA #:

Community / Communities:

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* 4. Location of Event: (location /city)

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* 5. Date(s) of event:

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* 6. Who is planning the event? Who will be the main contact for the event?

Event Planner 1: Name:

E-mail:

Phone #:

Event Planner 2: Name:

E-mail:

Phone #:

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* 7. How many girl / adult participants do you anticipate in attendance at your event?

# of girls:

# of adults:

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* 8. What program levels will your event serve? Check all that apply.

Daisy

Brownie

Junior

Cadette

Senior

Ambassador

Adult

Family

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* 9. What is the approximate cost of your event per participant (girl / adult)? If you are not charging a registration fee for adults please put $0.

Girl cost:

Adult cost:

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* 10. What Girl Scout Leadership Experience outcomes do you plan on the girls learning about / working towards at this event? Please check all that apply.

Discover: Girls develop a strong sense of self.

Discover: Girls develop positive values.

Discover: Girls gain practical life skills.

Discover: Girls seek challenges in the world.

Discover: Girls develop critical thinking.

Connect: Girls develop healthy relationships.

Connect: Girls promote cooperation and team building.

Connect: Girls can resolve conflicts.

Connect: Girls advance diversity in a multicultural world.

Connect: Girls feel connected to their communities, locally and globally.

Take Action: Girls can identify community needs.

Take Action: Girls are resourceful problem solvers.

Take Action: Girls advocate for themselves and others, locally and globally.

Take Action: Girls educate and inspire others to act.

Take Action: Girls feel empowered to make a difference in the world.

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* 11. Will your event incorporate any Petals, Badges, or Journeys?

Yes

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* 12. If your event will incorporate Petals, Badges or Journeys, which ones will you incorporate into you event? Please list them. If you are not incorporating any Petals, Badges or Journeys into your event and you would like to brainstorm ways to include them please contact the me at feuquayc@gsbadgerland.org or 608.237.1157 and I will gladly help!