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Financial Aid Form

Complete and submit the form below.

Member Information

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*
 Girl
 Adult
 
 
 
 
 
 
 
*
 
*
*
*
 
 
 
*
 
 Yes
 No

Member Financial Information

 
 Below $10,000
 $10,001-20,000
 $20,001-30,000
 $30,001-40,000
 $40,001-50,000
 $50,001-60,000
 $60,001-70,000
 $70,000-80,000
 $80,001+
 
 Salaries
 Disability
 Social Security
 Unemployment
 Other
 
 2
 3
 4
 5
 6
 7
 8
 9
 10+

Type of Financial Aid Requesting

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 Membership Dues (up to $25)
 Shop Certificate (Girls only) (up to $25)
 Membership Dues and Shop Certificate

Shop Certificate Information

If you are requesting financial assistance to purchase Girl Scout uniforms or Journey books, please complete the information below.

NOTE: Shop certificates can only be used to purchase Journey books or uniforms. Shop certificates are good for one use and any unsued credits will be forfeited. All shop certificates expire on the last day of the current membership year (September 30).

 
 Delco
 Lehigh Valley
 Jane Seltzer
 Shelly Ridge
 Valley Forge

Once the fields above are completed, submit this form to our member services team. Once you've submitted the form, upload your proof of income to Dropbox

Once our team has received your financial aid form and documents, we will review your request for financial aid and be in touch within 30 days. 

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