Financial Assistance - Uniform/Supplies

Financial Assistance - Uniform/Supplies - 2021MY

Girl Scouts of West Central Florida is committed to ensuring every girl has the opportunity to participate in Girl Scouting.
Girl Information

Please submit information for one girl per application.
Girl's Name *

First Name Last Name
Girl's Date of Birth *

Month Day Year
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Participation *

We Need Help Finding a Troop My Girl is Already in a Troop My Girl is an Independent Juliette Member
Troop Leader's Name and Troop # *
# of Years as a Girl Scout(Please put "0" if this is your girl's first year) *
Girl's Grade as of Fall 2020 *
Family Information

This section is for the parent/guardian.
Parent/Guardian Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
Number of adult family members living in the home *
Number of dependent children living in the home *
Financial Information

Income verification documentation must be provided, within 7 business days of application submission, to demonstrate financial need.
Household Income

$12,490 & Under $12,491 - $16,910 $16,911 - $21,330 $21,331 - $25,750 $25,751 - $30,170 $30,171 - $34,590 $34,591 - $39,010 $39,011 - $43,430 $43,431 - $50,000 $50,001 - $60,000 $60,001 - $75,000 $75,000 & Above
Income Verification Documentation *

Browse Files

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Please select the type(s) of income verification being submitted:

Unemployment notification letters/receipt Disability/social security statements Food stamp/public assistance award letters/receipts Public housing acknowledgements Free/reduced lunch award letters Other
Uniform/Supplies Request

Types of financial aid available Awards are limited to a maximum of $40.00 per Daisy Scout and $32.00 for all others.
Will your Girl Scout need a uniform? *All Tunics or Sashes will also come with the following items - Council Identification Set, Troop Numbers, American Flag Patch, Insignia Tab, & Membership Pins*

Daisy Tunic Kit (S/M) - $33.00 - $38.25 Daisy Tunic Kit (L/XL) - $33.00 - $38.25 Brownie Sash Kit - $23.50 - $28.75 Brownie Sash Kit (XL) - $23.50 - $28.75 Junior Sash Kit - $24.50 - $29.75 Junior Sash Kit (XL) - $24.50 - $29.75 Cadette Sash Kit - $25.50 - $30.75 Cadette Sash Kit (XL) - $25.50 - $30.75 Senior Sash Kit - $25.50 - $30.75 Senior Sash Kit (XL) - $25.50 - $30.75 Ambassador Sash Kit - $25.50 - $30.75 Ambassador Sash Kit (XL) - $25.50 - $30.75
Is your Troop Leader recommending your Girl Scout have a Girl's Guide to Scouting? *Please note that this is not a required item and is used as a resource*

We will need a Girl's Guide to Scouting - $17.00
Agreement: In order to be considered for Financial Assistance, please review the Financial Assistance Guidelines: https://www.gswcf.org/content/dam/wcf-images/pdf-forms/Camp/Campership-Guidelines.pdf
I have read, understand, and agree to the Financial Aid Guidelines.
I certify that all information contained in the application are true and complete. *
Date *

Month Day Year
Should be Empty:

Financial Assistance - Uniform/Supplies - 2021MY

Girl Information

Family Information

Financial Information

Uniform/Supplies Request

Agreement: In order to be considered for Financial Assistance, please review the Financial Assistance Guidelines: https://www.gswcf.org/content/dam/wcf-images/pdf-forms/Camp/Campership-Guidelines.pdf