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Financial Assistance Request
The Girl Scouts of Orange County believes that all girls should have the opportunity to participate in the Girl Scout experience and not be limited by economic factors. The Board of Directors annually approves Financial Assistance to help girls purchase uniforms and participate in troop or activities.
This fund is for:
• The purchase of a Girl Scout uniform components and the required insignia
• Assistance in purchasing handbooks
• Assistance in purchasing supplies
• Assistance with Service Unit events, troop activities or field trips (not sleepaway camp)
Requests are processed during six-month periods: January through June and July through December. As a result of this procedure, it is necessary that two separate requests be made for one girl to cover the entire Girl Scouting year.
Please note: Girl Scout Membership Dues and camps are not covered by this fund. (See Financial Assistance Guidelines, Campership Guidelines, or Application for information about making those requests)
Financial Assistance Requests can be completed by a Troop Leader or parent/guardian.
Who can opt for the following:
• Troop Check – $25 maximum per girl
• Uniform Voucher Certificate*
*This is a one-time only option to girls who are participating in their first girl-scouting year
What does the Uniform Certificate include?
• Level Specific Sash, or Tunic
• Wavy Flag Emblem
• Level Specific Council ID
• Level Specific Insignia Tab
• Levels Specific Troop Numbers
• Daisy, Brownie, or Girl Scout Membership Pin
• World Trefoil (WAGGGS) Pin
To redeem Uniform Certificate:
Present certificate at the Irvine shop to receive items designated on the voucher
Contact Information
Troop #:
*
Service Unit:
*
Please select
101 Brea
102 Fullerton/La Habra
103 La Cypress Park
104 Anaheim
105 Los Alamitos/Rossmoor
201 Placentia
202 Yorba Linda West
203 Yorba Linda East
204 Orange Villa
205 Anaheim Hills
206 Santiago Creek
301 Seal Beach
302 West Garden
303 Huntington Harbor
304 Ocean View
305 HB Pierside
306 Surf City
401 Garden Valley
402 Tustana
403 Tustin East
404 Newport Mesa
405 Newport Harbor
501 South Irvine
502 Heart of Irvine
503 North Irvine
504 Laguna Beach
505 Aliso Viejo
506 Niguel Coast
507 San Clemente
602 Lake Forest
603 Rancho Portola
604 Mission Viejo
605 Rancho Trabuco
606 Oso Valley
607 Ladera Valley
701 Community Programs
702 Community Programs
OTHER
If "OTHER" Please explain below:
Name of who is submitting request:
*
First
Last
Phone:
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Email address:
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Address:
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Girl Information
Period requesting Financial Assistance:
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January to June
July to December
Year:
*
Please Note: If Troop Check is selected - checks will be mailed to Troop Leader
Girl (First & Last Name)
Level
Type of Request (Troop Check or Uniform Certificate)
For Troop Check, Amount being requested ($25 max per girl)
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Total Amount Requested From GSOC:
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Total Number of Uniform Certificates Requested:
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Financial Hardship & Anticipated Expenses
Please be specific about the type of expense. (E.g. Troop activities like field trips or Service Unit events, the girl’s share for Troop craft materials, purchasing uniform or badges, etc.)
All information is confidential.
Girl (First & Last Name)
Specific financial reasons for this request
What will funds be used for?
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Additional Comments:
If funds are approved, receipts must be attached to the Financial Assistance Report and returned to the Girl Scouts of Orange County, by the end of the six-month period (June 30th or December 31st).
*
I understand I am liable to the GSOC for a report of monies spent (or unspent) and will provide receipts for all expenses incurred. By the end of the annual period, I will return all unspent monies to GSOC.
Signature
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Clear
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