Outstanding Graduating Girl Scout Scholarship Reference Form

Outstanding Graduating Girl Scout Reference Form
Registered Girl Scouts from the Girl Scouts of Southern Illinois Council that are graduating in 2026 can apply to receive a Girl Scouts of Southern Illinois Outstanding Graduating Girl Scout Scholarship. An applicant has selected you as a reference. Please provide the information requested on this form no later than Monday, February 23, 2026 at 11:59 p.m.

You may save your progress and submit at a later time. Thank you for providing the information requested. If you have any questions, please contact our Customer Care team at customercare@gsofsi.org or call 800-345-6858.
Girl Scout applicant name:*

First NameLast Name
Girl Scout applicant email:
example@example.com

Applicant Attitudes and Abilities

Please give examples that demonstrate the applicant's attitudes and abilities below.
Leadership*
Initiative*
Cooperation*
Enthusiasm*
Respect for Authority*
Open-Mindedness*
Awareness of and concern for the world around her*
What contributions has this applicant made to Girl Scouting in her troop, community, Southern Illinois Council or other? Examples include Silver or Gold Award projects, Program in Training, Counselor in Training or Program Aide.*
What activities/organizations does the applicant participate in outside of Girl Scouts including her school, community, or place of worship?*
Please add any other comments that you feel would be helpful to the committee when making a decision about this applicant.*

Submission

By submitting this form, you agree that you are submitting this reference form for the above-named Girl Scout. References are confidential and will be used solely for scholarship determination. Reference statements are not provided to the applicant outside of letting them know that a reference has been received by the council.
Thank you!

If you have any questions, please contact Customer Care at customercare@gsofsi.org or 800-345-6858.
Should be Empty:

Outstanding Graduating Girl Scout Reference Form