GSEP Girl Membership Assistance Request

Is your girl in a troop?

Yes

No

Is your girl an individually registered Girl Scout?

Yes

No

If yes, is your girl looking for a troop to join?

Yes

No

Did your girl participate in a Product Program?

Yes, my girl participated in the Fall Product Program

Yes, my girl participated in the Cookie Program

Yes, my girl participated in the Fall Product Program and the Cookie Program

No, my girl did not participate in a product program

I understand that by applying for financial assistance due to hardship, that I am agreeing for my girl to participate in the Product Programs throughout the membership year.

Yes, I agree

Does your troop use any funds to support membership renewal?

Yes

No

I don't know

How much can you contribute to your girl’s membership renewal?

$25

$25 or more

less than $25

Is this your first time applying for Financial Aid due to hardship?

Yes

No

Does your girl qualify for the free or reduced lunch program?

Yes

No

Confirmation

I certify that the information provided is accurate to the best of my knowledge. I understand that assistance is based on availability of funds and is not guaranteed.

I acknowledge that proof of financial hardship may be requested.

I understand that assistance is based on availability of funds and is not guaranteed.