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Volunteer Disclosure and Screening Process

Welcome to Girl Scouts San Diego volunteer application, disclosure and background screening authorization. If you have completed these forms in the last 12 months, do not resubmit.

Getting started:

  1. Submit the volunteer application and disclosure below
  2. Follow the link to Asurint to complete the background screening process

-- Personal Information --

ALL FIELDS REQUIRED

 First Name  Middle Name  Last Name  E-Mail Address

() - () -    
 Home Phone  Mobile Phone    

 Troop Number (if you already have one)  Service Unit (if you already have one)

Please provide any special skills, talents, interest, and/or additional comments below:

All Girl Scout members pay an annual membership fee of $15

-- Agreements & Disclosures --

   Yes    No
 Have you ever been convicted of a crime, or had a pleading of guilty to a crime, including, but not limited to,
abuse, and molestation offenses?
 
If yes, state the nature of the crime(s), when and where convicted and disposition of the case.

I understand that this is an application for a volunteer position in Girl Scouting for which there is no monetary compensation. In the selection of volunteers, there shall be no discrimination against an otherwise qualified adult volunteer by reason of disability or on the basis of age. Furthermore, there shall be no discrimination on the basis of race, color, ethnicity, sex, creed, national origin, or socioeconomic status. In addition, to ensure full equality of the organization, affirmative action policies and procedures shall be utilized in the recruitment, selection, training, placement, and recognition of volunteers. Special emphasis shall be placed upon securing representation of underrepresented population groups. - Girl Scouts Blue Book of basic documents 2012.

I certify that all information provided on this application is true and complete. I understand that falsification or significant omissions are considered justification for dismissal if discovered at a later date.

I understand that my references may be contacted. The contact information will not be sold or shared by Girl Scouts San Diego.

I acknowledge that my name, address, telephone number and email as they appear on this form may be distributed within the organization for Girl Scout purposes.

If appointed as a volunteer, I agree to read and abide by the philosophies, policies, and procedures as stated in the Volunteer Policies, Procedures and Standards, to meet membership requirements, and to fulfill my volunteer responsibilities to the best of my ability as detailed in my volunteer position description(s).

I affirm that I subscribe to the beliefs and principles of the Girl Scout Movement as stated in the Girl Scout Promise and Law.

Girl Scout Promise
On my honor I will try
To serve God and my country
To help people at all times
And to live by the Girl Scout Law.
 
Girl Scout Law
I will do my best to be honest and fair, friendly and
helpful, considerate and caring, courageous and
strong, and responsible for what I say and do, and
to respect myself and others, respect authority,
use resources wisely, make the world a better place
and be a sister to every Girl Scout.

-- Consent / Release --

Girl Scouts San Diego's core values include the safety of girls, volunteers and staff. To continue this practice, we have contracted with ASURINT to conduct background checks on volunteers who are supervising girls and handling finances. This includes troop leaders, troop assistant leaders, troop co-leaders, service unit team, troop treasurers, troop cookie coordinators and fall product coordinators. As a potential volunteer, we ask that you agree to the following in authorizing a background check by Girl Scouts San Diego:

I understand that the preappointment background check requires my full name, date of birth, and if applicable, driver's license number and social security number. I understand that the information I have provided may be verified by contacting persons or organizations listed in the application, or by contacting any person or organization that may have information concerning me.

I hereby consent and voluntarily authorize Girl Scouts San Diego to obtain an independent criminal background report, motor vehicle report and Social Security Number validation report, if applicable. I further authorize said council to request or receive information, including past employment and education records, and/or references from any persons, schools, or previous employers only if pertinent to my potential work as a volunteer.

I certify that the entries made by me in this form are true, complete, and accurate to the best of my knowledge, and are made in good faith and voluntarily. I understand that any false statements or answers by me may disqualify me for volunteer services or will be sufficient grounds for termination. Moreover, I understand that failure to complete this form will preclude me from volunteer opportunities with the Girl Scouts San Diego.

I further understand that I will receive a complete and accurate disclosure of the nature and scope of the background verification, in the event such investigation negatively affects my placement as a volunteer.

If you have any questions regarding this process please contact volunteer services directly at volunteer@sdgirlscouts.org or by phone at 619-610-0728.

 
 
 
 
Girl Scouts San Diego :: 1231 Upas Street, 92103 :: (619) 298-8391 :: info@sdgirlscouts.org
 
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