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First Name
*
Last Name
*
Organization/Company
Position with Company/Organization
Organization/Company Website
Phone
*
Email
*
City of Business Operation
How are you interested in partnering with GSGLA? (select all that apply)
*
Program Partner (sponsorships, events)
Program Partner (sponsorships, events)
Program Provider (opportunities for girls)
Program Provider (opportunities for girls)
Supporter (foundations, grants, donations)
Supporter (foundations, grants, donations)
Volunteer Opportunities for organization
Volunteer Opportunities for organization
Marketer (cause-marketing, mutually beneficial advertising)
Marketer (cause-marketing, mutually beneficial advertising)
Advertiser (promote business to girls and families)
Advertiser (promote business to girls and families)
Media (share our Girl Scout stories)
Media (share our Girl Scout stories)
Other (please specify interest below)
Other (please specify interest below)
Text
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40
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please specify how you are interested in partnering with GSGLA here
Preferred Date for partnership/event/program to start/launch?
Within 2 weeks
Within 1 month
Within 3 months
Within 6 months
Within 9 months
Within 12 months
Within 18 months
How many years has your organization/company been in existence?
0-2 years
3-5 years
6-10 years
11-15 years
16-25 years
25+ years
Are you a part of a national organization/company
Yes
Yes
No
No
Please select the category that best describes your organization/business
Arts
Outdoors/Environment
Education
Science/Technology/Construction
Government/Military/Nonprofit
Hospitality/Travel
Media/Entertainment
Sports/Fitness
Medical/Healthcare
Law
Retail/Manufacturing
Business/Finance
Other (Please specify below)
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40
characters left)
Please specify the category that best describes your organization/business
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