Girl Take the Lead Application

The deadline for applications is Friday, October 26, 2012 at 5 pm. Please note: All girls will be required to attend a training and a practice session (date TBD).

Name		Birth Date

Address		City

State		Zip Code

Email Address		Phone

Girl Scout Level		Troop Number

Home Phone		Cell Phone

School		Grade

Parent/Guardian Name		Email

Cell Phone

Position Applying For: (* Emcee and Presenter positions are for Senior and Ambassador Girl Scouts; these positions are limited in number and there will be an interview process for these applicants.)

Please indicate which Take the Lead event you would like to participate in. (Each event will run from 4:00 p.m. - 8:00 p.m.)
Philadelphia, March 5, 2013 Berks County, April 17, 2013 Lehigh Valley, May 1, 2013
Please answer the following questions:
1) Why do you want to participate in Take the Lead?

2) Why do you enjoy Girl Scouting?

3) Describe your extracurricular activities, volunteer/community involvement, Girl Scout awards or other awards.



Thank you for your interest in Take The Lead!
If you are a troop leader and want to register your troop to participate as the chorus in Take the Lead or if you have any questions about this application, contact Kelly Strause, Development Coordinator, at 610-791-2411, ext. 1513 or via email at kstrause@gsep.org .