Program Financial Assistance Grant Application

Please submit your application 6-8 weeks before your event. Applications must be submitted by the second Monday of the month to be considered in that same month. Please keep in mind it takes 2-4 weeks after submission to receive checks. Preference for program grants is given to girls/troops that participate in Girl Scout money-earning opportunities.
Program grants should not be used to replace responsible troop planning and budgeting.
The Program Grants Panel suggests that girl’s progress through local, regional, and domestic travel in order toprepare for longer and farther trips in the future. Starting with small trips can help girls gain experience with travelbefore embarking on larger programs such as destinations.
If more than 25% of participants request assistance for a trip, the request will most likely be denied.
The Program Grants Panel will not issue reimbursements for activities.
The Program Grants Panel will only consider grant requests from adults required to participate in the activity byVolunteer Essentials (troop leader, first-aider, and any additional adults required to meet the adult-to-girl ratios).
The Program Grants Panel will closely investigate requests for trips planned through tour operators, as those trips donot always meet the guidelines of the Panel with regards to timelines for planning and money-earning.
For destinations: Grants preference is given to girls attending a destination for the first time. If a girl has received agrant for a previous destination, she may not qualify for additional destinations funding.

Name

First NameLast Name

Who is this request for?

An individualMultiple individuals in a troopA troop

Has this trip Pre-Approval form been sent and approved? (If No: Trip needs to be pre-approved before asking for financial assistance.)

YesNo

Full Name

Troop

Association

Service Unit

Program Level

Names and Levels of Individuals*

Name of Activity

Type of Activity

Badge workshop, a performance, travel, GSUSA destinations, etc.

Is this activity a GSUSA Destination?

YesNo

Activity Start Date

Date

Activity End Date

Date

Number of youth in the Troop

Number of youth participating in the activity

Number of adults participating in the activity

Number of non-Girl Scouts participating in the activity

All adults participating in this activity are required to participate in the activity according to Volunteer Essentials and the Safety Activity Checkpoints ratios:

YesNo

Have you attended a destination in the past?

YesNo

Did you receive a program grant for that destination?

YesNo

When did planning and budgeting for this activity begin?

Date

The experiences of the financial assistance panel has shown that a trip costing $300 will take a minimum of six months to plan, a trip costing $300-$750 will take a year to plan, a trip costing $750-$2,500 will take a minimum of two years to plan, etc.

Did the troop allow sufficient time to plan this activity?

YesNo

Did the troop participate in the Fall Product sale?

YesNo

Did the troop participate in the Cookie Program?

YesNo

What plans did the troop make to pay for this activity? List all money-earning activities (past and future) below.*

If the table above of money-earning activities was left blank, explain why this individual did not participate in any money earning activities or why money-earning activities are not funding this activity:

If parents were expected to pay part of the cost, was this discussed with them before plans were finalized?

YesNo

Were parents involved in planning money-earning activities?

YesNo

Did adults participate in and benefit from group money-earning activities?

YesNo

If not, what plans were made to cover the costs for required adults?

Was this trip booked through a tour operator?

YesNo

Cost of Activity for Individual

	Cost
Event Fee
Transportation
Lodging
Other

Total Cost

Amount Available to Individual

	Amount
from current Troop Funds
from projected future Troop Funds
from Individual (non-Girl Scout) Funds
from Family Contributions

Total Amount Available

Amount Requested (cost - amount available)

Does the amount above match the amount you wish to request?

YesNo

How much do you wish to request instead?

Please explain the difference between our calculation and the amount you wish to request.

Describe the financial circumstances of the individual that the program grant is being requested for, and provide specific reasons for why the program grant is being requested:

Full Name

Relationship to Program Grant recipient?

Email

example@example.com

Phone Number

Please enter a valid phone number.

If you are the Troop Money Manager, please check yes to autofill information from above.

YesNo. I am not the Troop Money Manager.

Money Manager Full Name

Money Manager Email

example@example.com

Money Manager Phone Number

Please enter a valid phone number.

Money Manager Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please upload an event itinerary and detailed budget

Program Financial Assistance Grant Application

Program Grant Criteria

Program Financial Assistance Recipient Information

Activity Details

Planning Details

Cost Information

Individual Submitting Request

Approved aid will be sent in a check to the Troop Money Manager. Please enter their information below.