Program Financial Assistance - Loan Application

Program loans help troops, groups, and individuals to cover approved Girl Scout expenses when funds are not available at the time that payment is due. Program loans can be considered in the following situations:
- To make a deposit for activities prior to receipt of funds from the cookie program
- If money-earning activities have fallen short of expectations and plans cannot be changed
- If a special opportunity arises and girls need more time to raise mone
- If several girls in the troop or group are in need of financial assistance
Program loans must be repaid within twelve months.
The Program Grants Panel will not issue reimbursements for expenses that have already occurred.
Unpaid program loans are considered a Council debt. Troops, groups, and individuals that default on a program loan may not participate in Girl Scouts Nation’s Capital programs or use Girl Scouts Nation’s Capital campsites, and may be subject to debt collection.
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.

Who is this request for?

An individualMultiple individuals in a troopA troop

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

Please upload an event itinerary and detailed budget

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(s) that the program loan is being requested for, and provide specific reasons for why the program loan is being requested:

Detail your potential Loan Repayment Plan with dates and dollar amounts included:

Example: Pay $300 by January 1st, Pay back $200 by February 1st, etc.

Full Name

Relationship to Loan 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

Loan Repayment Agreement - I understand that this troop loan is a financial obligation to the Girl Scout Council of the Nation’s Capital and I agree to repay the loan within twelve months according to the repayment schedule. I understand that defaulted loans are considered a Council debt and will affect application for loans, programs, and use of camps. *

Program Financial Assistance - Loan Application

Program Loan Criteria

Activity Details

Planning Details

Cost Information

Individual Submitting Request

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