2026 Governance Interest & Application Form

2026 Governance Interest/Application Form

This form is a tool that helps the Board Development Committee (BDC) to conduct an interview for Committee or Board service. The BDC must receive completed applications by 5 p.m. on December 31, 2025 for governance year May 1, 2026 - April 30, 2027
I am filling out this application as: (Select only 1 of the following)

a New Applicant to Girl Scouts of West Central Floridaa Returning Board or Committee Membera Girl Board Member Applicant (ages 14-18)

2026 Current Governance Members

This section is for current GSWCF Governance members.
Name*

First NameLast Name
Current Relationship to Girl Scouts:
Email*
example@example.com
Board Members seeking renewal for a subsequent term, answer the following:
Why do you want to renew, expand or change your commitment to GSWCF?*
What do you desire for long-term service to GSWCF?*
How have you supported the GSWCF mission and leadership to date?*
Are you interested in chairing a committee? If so, which committee?
Do you wish to change committees?

YesNo
If Yes, which committee are you currently on?
Which committee do you wish to change to?
Commitment:

Serving on the Board of Directors and/or committees may require a monthly meeting and a minimum of 4 significant Girl Scout events per year.
Are you willing to make the requisite time commitment to the Board or selected committee at this time?*

YesNo
If you serve on our governance, we expect you will choose Girl Scouts of West Central Florida as one of your charity of choices. If you are a Board Member you are required to donate a minimum pledge of $1,000 per year and secure a minimum of $500 donation from others per year. Are you willing to make the requisite pledge?*

YesNoN/A (This is not required for committee members)
Please share your LinkedIn Profile link here (or write N/A):
Upon signing this application, I am acknowledging that I have been informed that if nominated and accepted, I will play a key role in building the culture of leadership and in supporting the development efforts of the organization. I understand that if nominated and accepted as a board member, I will be carrying out a governance functions as a fiduciary on the organization’s behalf. This role will subject me to three obligations:

Duty of Care requires that directors act in a reasonable and informed manner using the same degree of care as a prudent person would under similar circumstances

Duty of Loyalty requires that directors place the organizations interest above their own personal interests

Duty of Obedience requires that directors be faithful to the organization’s missions

I understand that this interest form does not constitute nomination or acceptance and that there will be additional interview and vetting process by the Board Development Committees. As a federated organization with local delegates, Board Members and Board Development Committee Members are slated by the Board of Directors for service and elected during our Annual Meeting in April. Per our Bylaws, slated candidates may not be elected if the delegate body does not approve the slate. Thank you for your understanding of our membership-driven, democratic process. Committees only need a board chair process.

If elected, I agree to serve in a strictly volunteer (no pay) capacity. I understand this role will necessitate my attendance to both Committee meetings and Board meetings, in addition to other occasional events pertinent to the fulfillment of a Board of Directors’ responsibilities.
Signature

Clear

2026-2027 Girl Board Member Application

The Board Development Committee must receive completed applications by 5:00 p.m. on December 31, 2025.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Race/Ethnicity:
County of Residence:*
Girl Scout Level:*
Service Unit:*
Age:*
Grade: *
School: *
Must be Age 14 or older at time of election in April 2026
Why do you want to serve as a member of the Board of Directors?*
Are you willing to fulfill all of the responsibilities in the job description?*
What governance positions have you held in Girl Scouts? (i.e. Area Chair, Area Delegate, Service Unit Delegate, National Council Delegate)*
Have you ever participated in programs or leadership opportunities in your school or a nonprofit or charitable organization before other than Girl Scouts?*
If yes to the above, tell us about it:
What council-wide events or committees have you participated in? Please describe your participation.*
What recognitions have you earned from Girl Scouts? (i.e. Gold Award, Silver Award, etc)*
How would you gather input and opinions from other Girl Scouts and share what you learned at board meetings with other Girl Scouts?*
Have you represented Girl Scouts to any outside organizations?*
If yes to the above, please describe:
Please provide any other insights that will help the Board Development Committee determine who would best represent the girls on the council Board of Directors. For example, include other activities you participate in.*
Parental/Caregiver Approval: I have reviewed the job description for the board of directors and understand the time commitment and responsibilities involved. My daughter has permission to serve as a girl member of the board. I will help her obtain the transportation necessary to attend board meetings and other board events.
Parent/Caregiver Name*

First NameLast Name
Parent/Caregiver Phone Number*
Please enter a valid phone number.
Parent/Caregiver Email*
example@example.com
Signature*

Clear
Should be Empty:

	First Choice	Second Choice	Third Choice
Board of Directors (Elected Position)
Board Development Committee (Elected Position)
Finance Committee
Mission Advancement Committee
Properties Committee

2026 Governance Interest/Application Form

2026 Governance Interest and Application Form

Commitment:

2026 Current Governance Members

Board Members seeking renewal for a subsequent term, answer the following:

Commitment:

2026-2027 Girl Board Member Application