Girl Scouts of Connecticut: National Delegate Application

Application For 2008 Girl Scout National Council Session 51st Convention

Please complete the following information: (note, fields marked * are required)

Name*

E-mail*

Address*

City*

Zip*

Home Phone*

Work/Alternate Phone

I would like to represent the Girl Scouts of Connecticut at the 2008 National Council Session in the following manner
as a Delegate at the National Council Session, and for the three-year period from Oct. 2008 to Oct. 2011
as an alternate Delegate at the National Council Session in the event that an elected Delegate is unable to attend
as a guest at the National Council Session (I understand that as a guest I will be required to cover the full cost of my trip, including the National Council Session costs. I further understand that I will be unable to vote at the business meeting.)

Race/Ethnicity*

Age Group*

Region/County*

Candidate Experience
Girl Scout Experience: list present and most recent first.
Position	Local/National	Date(s)



Other Volunteer Organizations: list present and most recent first.
Position	Location	Date(s)



Employment History: List present and most recent first.
Position	Location	Date(s)



Education: List present and most recent first.
School	Degree	Date(s)

Use the space provided below to describe what you would contribute to the National Council Session and to Girl Scouts of Connecticut by your attendance at this meeting.

Attendance at a National Council Session requires extensive walking and sitting or standing for long periods of time. Do you have any physical limitations of which we need to be aware? If yes, please describe any accommodation you would require:

I agree that, if selected, I will carry out the responsibilities of a delegate as described and will represent Girl Scouts of Connecticut as an informed delegate. I also confirm that I am a U.S. citizen (a requirement in the national consitition).

Application For 2008 Girl Scout National Council Session 51st Convention

Candidate Experience

CAMP OPEN HOUSE

HAVE A GREAT SUMMER