Council Trainer Application

Please complete the following information and send this application to phutchings@girlscoutsosw.org. You can also mail this application to GSOSW Learning Services, 72C Centennial Loop, Suite 300, Eugene, OR 97401.

Personal Information

Name _____________________________________________________________________________________________

Address ___________________________________________________________________________________________

Phone ___________________________ Email_____________________________________________________________

Girl Scout Experience

Are you currently a registered Girl Scout Member? Yes No

Have you completed a current background check with Girl Scouts OSW? Yes No

Please briefly describe any background and/or experience in Girl Scouting:

__________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________

Areas of InterestWhich courses are you interested in delivering? Please check all that apply.

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GSOSW Learning Services welcomes your interest in becoming a council trainer. We have a continuing need for dedicated, energetic people to share their experience and to enable volunteers to be knowledgeable and confident in their role.

In what areas/service units would you like to train? Do you have a location you would like to train at? If so, where?

_________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________

Please list two people who are familiar with your background and experience in Girl Scouts. This could be a co-

volunteer, troop/group parent/caregiver, or a GSOSW staff member.

Name Phone Number Email Relationship

1. ________________________________________________________________________________________

2. ________________________________________________________________________________________

Daisy Brownie Junior Older Girl Outdoor Backpacking Other ________________