Girl Scouts Community Partnership Interest

Girl Scouts Community Pathways Interest

Please complete this brief form to inquire about partnering with Community Pathways.
About you

Please share information about yourself and your contact preferences.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
How would you prefer to be contacted?*

Phone CallEmailText messageOther
About your Organization

Please share information about the organization you are reaching out on behalf of.
Organization Name*
How are you associated/what is your title?*
Ex. I am the Director of Community Programs
Organization Zip Code(s)*
How would you classify your organization?*

Charter SchoolCultural OrganizationPrivate SchoolNon-profitPublic SchoolPhilanthropic PartnerYouth OrganizationFaith OrganizationOther
What grades will participate?*

K/K2 (5yo)1st2nd3rd4th5th6th7th8th9th10th11th12th
Community Pathway Interest
Which partnership opportunities would you like to learn more about?*

Girl Scout TroopsShort-term or one-time programsSharing Girl Scout events and opportunitiesOther
Please choose the topics you would like more information about.*

Community Action & LeadershipLife Skills & Personal DevelopmentSTEM & InnovationOutdoor Leadership & ExplorationEntrepreneurship & Financial LiteracyOther
Do you already have an adult facilitator in mind?*

Yes, me!Yes, another adult!I am confident we can recruit them.I am interested in having a GSEMA provided facilitator.Other/Unsure
Use this space to tell us any important, need to know information before we meet.
Should be Empty:

Girl Scouts Community Pathways Interest

About you

About your Organization

Community Pathway Interest