GSNNJ Adult Volunteer Years of Membership 2026

GSNNJ Adult Volunteer Years of Membership

Self-Reported and On Your Honor
Service Unit Name and Number:*
Submitted by:*

First NameLast Name
Email*
example@example.com
The GSUSA Adult Volunteer Years of Membership Pin includes total years as a registered member (both girl and adult).

These are awarded in 5 Year increments. (5,10,15 and so on)

Only pins for 15 years and above as a registered member are presented at our Adult Recognition Event, 5 and 10 year pins will be presented at the Service Unit level.

Volunteers receiving membership pins must be registered members for the current Girl Scout year.

Years of Membership pins are self-nominated and on your honor.

Only membership pins that have been reviewed will be awarded at the Adult Recognition Event.

Notify your Service Unit Manager or member of the Service Team.

5 Years of Membership -Presented at Service Unit

	First Name	Last Name	Service Unit/Town
5 Years
5 Years
5 Years
5 Years
5 Years
5 Years
5 Years
5 Years

10 Years of Membership -Presented at Service Unit

	First Name	Last Name	Service Unit/Town
10 Years
10 Years
10 Years
10 Years
10 Years
10 Years
10 Years
10 Years

15 Years of Membership -Presented at Adult Recognition Event

	First Name	Last Name	Service Unit/Town
15 Years
15 Years
15 Years
15 Years
15 Years
15 Years
15 Years
15 Years

20 Years of Membership -Presented at Adult Recognition Event

	First Name	Last Name	Service Unit/Town
20 Years
20 Years
20 Years
20 Years
20 Years
20 Years
20 Years
20 Years

25 Years + of Membership -Presented at Adult Recognition Event (please indicate # of years in 5-year intervals)

	First Name	Last Name	Service Unit/Town	Indicate Number of Years (25,30,Etc)
25 Years and Over
25 Years and Over
25 Years and Over
25 Years and Over
25 Years and Over
25 Years and Over
25 Years and Over
25 Years and Over

Please Note: If additional space is needed, please submit on a separate form.
Should be Empty: