Show/Hide

Girl Scout Gold Award Project Interest Form

Print
Press Enter to show all options, press Tab go to next option

Please correct the field(s) marked in red below:

Thank you for your interest in completing your Girl Scout Gold Award project with the City of Mesa!  Please fill out the form below to be put on our waitlist.  While we make every effort to accommodate the Scout's preferred project timeframe, projects are considered in the order they are received.  You will be contacted by a City of Mesa employee to discuss your project further once you've submitted the completed interest form.
1
Girl Scout First Name
2
Girl Scout Last Name
3
Scout Home Phone
4
Scout Cell Phone
5
Troop Number
6
Scout Email
7
Parent Email
8
Parent Cell Phone
9
Scout Home Address
10
Preferred month/year to begin project
11
What are your areas of interest?
12
Please give a brief description of your proposed project idea.  Include desired outcomes.
13
Other comments
  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code