Apply Below

This is a two part application. The two parts are as follows:
the application and two letters of recommendation.

All applications will be considered by the selection committee from Kelly C. O’Mahoney Inc in accordance with the Girl Scout Law.

The Application

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

High School

Class Of

College

I will attend...

In the fall

I am a current freshman

If N/A then list your top three choices.

Are you currently a registered member of Girl Scouts Louisiana East or Girl Scouts Pines to the Gulf?

Yes

No

Year of Completion of Gold Award:

1. What was your Girl Scout Gold Award Project?

2. What is the biggest personal obstacle/challenge you have had to overcome in your life? ● Explain how you overcame said obstacle/challenge?

3. Why do you feel that you deserve this scholarship?

4. What are your long term goals?

Letters of Recommendation

Two letters of recommendation, one from current or former unrelated Girl Scout Leader or Co-Leader and one from an unrelated adult serving in the role of high school teacher/counselor, church leader, or youth organization leader.

● What was this girl scout’s biggest obstacle/challenge?
● How did she approach and overcome this obstacle/challenge?
● Why should this girl scout receive this scholarship?

Whomever writes said letters must seal letters and sign over the seal on the letter. Once finishing the letters return them to whomever is applying for the scholarship.

IF SEAL IS BROKEN APPLICATION WILL BE CONSIDERED NULL AND VOID.

Letters of Recommendation must be postmarked by March 15, 2025 and mailed to:

Kelly Kicking Cancer
P.O. Box 1034
Mandeville, LA 70470-1034