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Get PA Girl Scout Volunteer Background Clearance Application 2011-2023

E Member Current Street Address: City: State: Zip: State: Zip: Number of years resided: Previous address (if less than five years): City: E-mail address: Cell Phone : ( ) TYPE OF SERVICE PREFERRED: r Troop Leader r Assistant Troop Leader r Troop Committee Member r Troop Overnight Adult r Troop First Aid/CPR GIRL SCOUT AGE LEVEL PREFERRED: r Daisies (K-1 grades) r Cadettes (grades 6,7,8) r Brownies (grades 2,3) r Seniors (grades 9, 10) r Juniors (grades 4,5) r Ambassadors.

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