Share your Juliette story!

Submit your Juliette (Individually Registered Member) or Juliette mentor story to Girl Scouts of Greater Chicago and Northwest Indiana!

Whether it's about how being a Juliette Girl Scout changed your life, a story about what you've done as a Juliette, or your journey to mentorship as a Girl Scout volunteer, we want to know!

Share for a chance to be featured on our blog, social media, and website.

Your First Name: *

Your Last Name: *

Your Preferred Email: *

Your Preferred Phone Number:

Grade Level:

Service Unit:

City:

State:

Share your story if you have something specific to share with us, or answer some of the questions below.

	Write your answers here.
Share your story.	Write your answers here.
What is your Girl Scout origin story (two paragraph maximum)?	Write your answers here.
What is the value of Girl Scouting in your life?	Write your answers here.
What keeps you going? What drives you to make a difference in the world?	Write your answers here.
What is the best part of being a Juliette Girl Scout or Juliette Girl Scout mentor?	Write your answers here.
What do you wish others knew about Juliette Girl Scouts?	Write your answers here.

Upload your photo or video file(s)

Are you (or if you are a mentor, you or your Juliette Girl Scout) involved comfortable with speaking in public or doing an interview with the media?

Yes

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I hereby grant to Girl Scouts of Greater Chicago and Northwest Indiana (GSGCNWI) the irrevocable, royalty-free, perpetual, unlimited right and permission to use my name, picture, likeness and voice (including any video footage of the same) for any purpose including, without limitation, educational, advertising, non-commercial or commercial purposes in any manner or media, including, without limitation, on the internet, in print campaigns, in-store and via television. I agree that I have no interest or ownership in any of the Media. *

I consent and agree.

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