Juliette Fund Application

Juliette Fund Application

This form is used to request funds earned by Individually registered members through the council sponsored product programs.
The Juliette Fund is available for those Girl scouts who have contributed to the fund through participating in Cookie and Fall Product Programs as an Independently Registered Member. Applications should be submitted 4 weeks prior to needed date to allow time for processing. It can only be used for shop purchases of uniforms, badges or program material and to pay for membership dues or event registration

Each request is reviewed individually by a Product Program Staff Member. The type of event and participation in Product Programs are considerations for approval.
Reason for Request*

Council Sponsored ProgramService Unit EventSummer CampCouncil Retail Shop PurchaseGSUSA DestinationsAnnual Membership DuesOther
Details of Request*
Girl Scout Program Age Level*
What Product Programs have you participated in? (check all that apply)*

Cookie Product ProgramFall Nut and Magazine Product Program
Service Unit #
Name of Girl Scout applying for funds*

First NameLast Name
Name of Parent/Guardian*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Daytime Phone Number*

Area CodePhone Number
Signature of Parent/Guardian*

Clear
Should be Empty: