EmailMeForm
SOLICITATION REQUEST FORM
Girl Scout Seniors and Ambassadors complete this form to request permission to solicit philanthropic donations to Girl Scouts of Orange County (GSOC) of cash (including money, checks, discounts) or in-kind goods (non-cash donations including copies, lumber, food, etc.) for Girl Scout Gold Award projects.
GSOC recommends this form be submitted at the same time as the Project Proposal (on Go Gold Online.)
Need to create or access your Go Gold Online account?
(click the image)
GIRL CONTACT INFO
Name:
*
First
Last
Email address:
*
(please enter email again to confirm)
Juliette or Troop
*
Juliette (not registered as part of a troop)
Troop #, (Troop Name - optional) ie. Troop 881, Wisteria
Service Unit
*
Please select
Aliso Viejo (505) - South Coast
Anaheim (104) - Northwest
Anaheim Hills (205) - Central
Brea (101) - Northwest
Comadres (701) - Comadres
Comadres (702) - Comadres North
Fullerton/La Habra (102) - North Central
Garden Valley (401) - North Central
HB Pierside (305) - Central Coast
Heart of Irvine (502) - Mid South
Huntington Harbor (303) - Central Coast
La Cypress Park (103) - Northwest
Ladera Valley (607) - South County
Laguna Beach (504) - South Coast
Lake Forest (602) - Mid South
Los Alamitos/Rossmoor (105) - Northwest
Mission Viejo (604) - South County
Newport Harbor (405) - Central
Newport Mesa (404) - Central
Niguel Coast (506) - South Coast
North Irvine (503) - Mid South
Ocean View (304) - Central Coast
Orange Villa (204) - Northeast
Oso Valley (606) - South County
Placentia (201) - Northeast
Rancho Portola (603) South County
Rancho Trabuco (605) - South County
San Clemente (507) - South Coast
Santiago Creek (206) - Northeast
Seal Beach (301) - North Central
South Irvine (501) - Mid South
Surf City (306) - Central Coast
Tustana (402) - Central
Tustin East (403) - Central
West Garden (302) - North Central
Yorba Linda East (203) - Northeast
Yorba Linda West (202) - Northeast
ADULT CONTACT INFO
Girl Scout Gold Award Troop/Group Volunteer:
*
First
Last
Adult volunteer who completes required training and guides you as you develop your project plan and work to "go gold"
Girl Scout Gold Award Troop/Group Volunteer Email address:
*
(please enter email again to confirm)
Parent:
*
First
Last
Parent Email address:
*
(please enter email again to confirm)
TROOP CONTACT INFO
Juliettes - Girl Scouts who are not registered as part of a Girl Scout Troop - please skip this section.
Troop Leader:
First
Last
Adult volunteer who handles troop funds
Troop Leader Email address:
(please enter email again to confirm)
Troop Check payable to:
Provide your Troop Number.
Address to send troop check (enter the address of your Troop Leader):
Street Address
City
State / Province / Region
Postal / Zip Code
GIRL SCOUT GOLD AWARD PROJECT INFO
Project Title:
*
Have you submitted your Project Proposal on Go Gold Online?
*
Yes
No
Estimated Total Income
$
Dollars
.
Cents
Estimated Total Expenses
$
Dollars
.
Cents
PRODUCT PROGRAM PARTICIPATION
Note: Product program participation is strongly encouraged. Product programs help girls to build 5 skills - goal setting, decision making, money management, people skills, and business ethics - and can help fund your Gold Award project.
I participated or will participate in (check all that apply):
*
Fall Product Program last year
Fall Product Program this year
Girl Scout Cookie Program last year
Girl Scout Cookie Program this year
If you did not or will not participate, why not?
PROSPECTIVE DONOR CONTACT INFO
Include as much information as possible in this section.
If you have more than 25 contacts, submit an additional request form. In addition, as your project develops, if you need to, you can submit a new request form to provide information about any additional contacts.
I am requesting permission to solicit from these contacts:
Contact Name (if known)
Company/Organization Name
Do you have an existing relationship with the contact/company? (yes or no)
Method of contact (In person, letter, phone, email, online, grant, other)
Cash ($ amount)
In-kind goods (estimated $ value)
In-kind goods (description of item)
1
2
3
4
5
Do you have additional contacts?
*
Yes - 5 additional contacts (up to 10 total)
Yes - 10 additional contacts (up to 15 total)
Yes - 15 additional contacts (up to 20 total)
Yes - 20 additional contacts (up to 25 total)
No
I am requesting permission to solicit from these additional 5 contacts (up to 10 total):
Contact Name (if known)
Company/Organization Name
Do you have an existing relationship with the contact/company? (yes or no)
Method of contact (In person, letter, phone, email, online, grant, other)
Cash ($ amount)
In-kind goods (estimated $ value)
In-kind goods (description of item)
6
7
8
9
10
I am requesting permission to solicit from these additional 10 contacts (up to 15 total):
Contact Name (if known)
Company/Organization Name
Do you have an existing relationship with the contact/company? (yes or no)
Method of contact (In person, letter, phone, email, online, grant, other)
Cash ($ amount)
In-kind goods (estimated $ value)
In-kind goods (description of item)
6
7
8
9
10
11
12
13
14
15
I am requesting permission to solicit from these additional 15 contacts (up to 20 total):
Contact Name (if known)
Company/Organization Name
Do you have an existing relationship with the contact/company? (yes or no)
Method of contact (In person, letter, phone, email, online, grant, other)
Cash ($ amount)
In-kind goods (estimated $ value)
In-kind goods (description of item)
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
I am requesting permission to solicit from these additional 20 contacts (up to 25 total):
Contact Name (if known)
Company/Organization Name
Do you have an existing relationship with the contact/company? (yes or no)
Method of contact (In person, letter, phone, email, online, grant, other)
Cash ($ amount)
In-kind goods (estimated $ value)
In-kind goods (description of item)
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Please describe any existing relationships you have to the above contacts. If none, type, "none."
*
Contact 1 Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Contact 2 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Contact 3 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Contact 4 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Contact 5 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Do you have additional contact addresses?
*
Yes - 5 more addresses (up to 10)
Yes - 10 more addresses (up to 15)
Yes - 15 more addresses (up to 20)
Yes - 20 more addresses (up to 25)
No
(Up to 10 Contacts)
Contact 6 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 10 Contacts)
Contact 7 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 10 Contacts)
Contact 8 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 10 Contacts)
Contact 9 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 10 Contacts)
Contact 10 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 15 Contacts)
Contact 6 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 15 Contacts)
Contact 7 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 15 Contacts)
Contact 8 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 15 Contacts)
Contact 9 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 15 Contacts)
Contact 10 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 15 Contacts)
Contact 11 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 15 Contacts)
Contact 12 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 15 Contacts)
Contact 13 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 15 Contacts)
Contact 14 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 15 Contacts)
Contact 15 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 6 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 7 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 8 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 9 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 10 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 11 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 12 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 13 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 14 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 15 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 16 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 17 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 18 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 19 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 20 Contacts)
Contact 20 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 6 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 7 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 8 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 9 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 10 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 11 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 12 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 13 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 14 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 15 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 16 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 17 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 18 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 19 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 20 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 21 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 22 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 23 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 24 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
(Up to 25 Contacts)
Contact 25 Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Please include any additional information you want to share.
