Program Financial Assistance Grant Application

Please Review the Criteria Before Starting Your Application

Please submit applications 6–8 weeks before your event and no later than the second Monday of the month for same-month review.

Allow 2–4 weeks after submission to receive checks - checks are sent to the troop money manager.

Girl Scouts/Troops must complete or plan to complete cookie and fall product sales to be considered for a grant.

Program grants should not be used to replace responsible budgeting and planning.

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 by Volunteer Essentials - troop leader, first-aider, and any additional adults required to meet the adult-to-scout ratios.

The Program Grants Panel will closely investigate requests for trips planned through tour operators, as those trips do not always meet the guidelines of the Panel with regards to timelines for planning and money-earning.

For destinations: Grants preference is given to girl scouts attending a destination for the first time. If a girl scout has received a grant for a previous destination, they may not qualify for additional destinations funding.

Name

First NameLast Name

Who is this request for?

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

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?

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:

Have you attended a destination in the past?

Did you receive a program grant for that destination?

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?

Did the troop participate in the Fall Product sale?

Did the troop participate in the Cookie Program?

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?

Were parents involved in planning money-earning activities?

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

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

Was this trip booked through a tour operator?

Cost of Activity for Individual

Rows	Cost
Event Fee
Transportation
Lodging
Other

Total Cost

Amount Available to Individual

Rows	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?

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.Format: (000) 000-0000.

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

Money Manager Full Name

Money Manager Email

example@example.com

Money Manager Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

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.