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Independent Girl Scout Interest Form
Fill out this form if you are a teen interested in learning more about Independent Girl Scouts, also called Juliettes after Girl Scout founder Juliette Gordon Low. Someone will contact you with more information.
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* Indicates required question
Email
*
Your email
Girl's Name
*
Your answer
Parent's Name
Your answer
Town
*
Your answer
Grade in Fall 2018
*
Girl Scout levels and activities are organized by grade, not age
Your answer
School name (state home schooled if you are)
*
Your answer
What goals and interests would you have as a Girl Scout. Check as many as apply.
*
Community Service
Learn a new skill
Trips and Travel
Camping
Earn the highest awards (Silver for grades 6-8, Gold for 9-12)
Earn badges
Sell cookies
Meet other girls with similar interests
Volunteer with younger Girl Scouts
Bulk up my college application
Join a writing group
Join a photography group (currently grades 9-12)
Join a robotics group
Other:
Required
Were you a Girl Scout in the past?
Yes
No
Please use this space for questions or other comments
Your answer
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