2021-2022 Honor Girl Scout Application

The Honor Girl Scout program recognizes Individual Girl Members (IGMs) at all age levels who experience a strong, balanced Girl Scout year. This program promotes girl/adult partnerships, girl planning, community service, and involvement. Honor Girl Scouts are recognized in Spirit of Nebraska online and print publications. Each girl will receive a signed Honor Girl Scout certificate and an Honor Girl Scout patch.

To apply for 2021-2022 Honor Girl Scout status, this application must be completed online by June 30, 2022.

Honor Girl Scout Requirements

  • IGMs must complete all Required Items (1-9).
  • IGMs must also complete Additional Items (10-32) as follows:
    • Daisy IGMs must complete 5 additional items.
    • Brownie and Junior IGMs must complete 7 additional items.
    • Cadette, Senior, and Ambassador IGMs must complete 9 additional items.
  • An event or activity may only be used once.
  • Complete chosen events and activities from items below by June 30, 2022.
  • Complete the online application by June 30, 2021. Late applications will not be accepted.
  • Due to COVID-19, any required or optional items may be completed virtually.

If you have any questions, please email us or call 800.695.6690.

Your Information

Grade Level: *

Required Items

Specify the date accomplished in the space provided (MM/DD/YYYY) for each item. For questions 3-5, put N/A on any lines you're not using.

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3. The girl attended one or more of the following events: * 🛈
 Date Completed (Min. 1)
Rediscover Girl Scouts Kick-Off Party
Girl Scout Cookie Kick-Off Party
4. The girl participated in at least one council-sponsored Product Program with all paperwork completed and money deposited by the deadlines. * 🛈
 Date Completed (Min. 1)
Fall Product Program
Girl Scout Cookie Program
5. The girl, along with her mentor, observed at least two of the following: * 🛈
 Date Completed (Min. 2)
Juliette Gordon Low's Birthday
Girl Scout Sunday/Sabbath
World Thinking Day
Girl Scout Leader's Day
Girl Scout Week
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9. Completed two badges of your choice (provide date and badge name below): *
 Date Completed:Badge Name:
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2

Additional Items

Daisy IGMs must complete 5 additional activities Brownie and Junior IGMs must complete 7 additional activities. Cadette, Senior, and Ambassador, IGMs must complete 9 additional items. Specify the date accomplished in the space provided on the left (MM/DD/YYYY) for each item. Additionally, provide a brief description on how the item was accomplished in the space below each item.

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Essay and Exception Request

2. Do you need an exception to any of the “Additional Items”? *

IGM Photos

Please submit at least one photo of your IGM experience from the 2021-2022 Girl Scout year.



Acknowledgement

As a parent/caregiver, I verify that this Individual Girl Member has honestly met the requirements for Honor IGM, and I proudly submit this application for recognition to the appropriate council staff.

Parent/Caregiver Signature: *
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