FORMS / GSEM Scholarship Application Form

GSEM Scholarship Application

The Girl Scouts of Eastern Massachusetts (GSEM) is currently accepting applications for the 2015 Scholarship. Two scholarships ($1,000 each) will be awarded to two Girl Scouts who are graduating seniors in recognition of their community engagement and leadership. The scholarship is to be used toward post-high school study.

Your online application and two letters of recommendation (one from school, one from the community) are due on Friday, March 6, 2015 at 4:00 PM EST. Please read the full document (MS Word). All materials must be submitted online and by the deadline to be considered for the scholarship.

Should you have a question, contact

General Information

* indicates a required field






Girl Scout Experience

Years as a registered Girl Scout please include:
A. Level (e.g., Brownie)
B. Number of years at each level
C. Dates of participation at each level
D. Leader(s) if known
E. Troop Numbers

Level# of years
at level
DatesLeader(s) if knownTroop #s

Academic Information




Extracurricular Activities

Essay Question

By clicking "Send", I certify that I have completed this application with honesty and integrity.