Council Opportunity Fund

Council Opportunity Fund

Financial Assistance Application: Girl Scout Uniforms
Guidelines
▪    If greater than 25% of the registered girls in the troop are requesting, then the last two (2) Troop Financial Activity Reports must be attached.

▪ All fields are required to process this request; including the girls first and last name to confirm their Girl Scout Membership.

▪ We wish to offer the Girl Scout Uniform to girls who need financial aid. Below are the individual items that are available to request.

▪    These Funds are limited; please keep that in mind when making your requests to ensure we have enough for everyone who asks.

▪    Please allow 1-2 weeks for your request to be reviewed. Only one per troop per year.
Troop Number*
Service Unit Number
Check All That Apply

DaisyBrownieJuniorCadetteSeniorAmbassador
Requester's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

List name of all Girl Scouts.*

	First Name	Last Name
Registered Girl Scout 1
Registered Girl Scout 1
Registered Girl Scout 1
Registered Girl Scout 1
Registered Girl Scout 1
Registered Girl Scout 1
Registered Girl Scout 1
Registered Girl Scout 1
Registered Girl Scout 1
Registered Girl Scout 1
Registered Girl Scout 1

Did troop/group participate in the last Cookie Program*

YesNo
If no, why not?
If yes, amount troop/group earned/anticipated?
Did troop/group participate in the last Fall Product Program?*

YesNo
If no, why not?
If yes, amount troop/group earned/anticipated?
Requestor's Agreement/Signature: I as the leader/requestor have filled out this form accurately and in its entirety. I understand that incomplete forms cannot be processed. I will allow 2-3 weeks for review of my request.*

Clear
Merchandise Pick Up Location*
If approved, choose preferred service center/shop location for material pick up.
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Daisy Council ID Set Daisy
$7.00 Quantity



Daisy Troop Numbers - 5-Digits is one set per girl
$9.75 Quantity



Daisy Insignia Tab
$4.00 Quantity



Daisy Pin
$3.00 Quantity



Daisy Tunic - XXS/XS/S
$23.00 Quantity



Daisy Tunic - M/L
$23.00 Quantity



Daisy Vest - XXS
$23.00 Quantity



Daisy Vest - XS
$23.00 Quantity



Daisy Vest - Small
$23.00 Quantity



Daisy Vest - Medium
$23.00 Quantity



Daisy Vest - Large
$23.00 Quantity



Brownie Council ID Set
$7.00 Quantity



Brownie Troop Numbers- 5-Digits is one set per girl
$9.75 Quantity



Brownie Insignia Tab
$4.00 Quantity



Brownie Pin
$3.00 Quantity



Brownie Sash - Regular Length
$10.50 Quantity



Brownie Sash - Extra Long
$10.50 Quantity



Brownie Vest - Extra Small
$24.00 Quantity



Brownie Vest - Small
$24.00 Quantity



Brownie Vest - Medium
$24.00 Quantity



Brownie Vest - Large
$24.00 Quantity



Brownie Vest - Extra Large
$24.00 Quantity



Junior Insignia Tab
$4.00 Quantity



Junior Sash - Regular Length
$10.50 Quantity



Junior Sash - Extra Long
$10.50 Quantity



Junior Vest - Small
$25.00 Quantity



Junior Vest - Medium
$25.00 Quantity



Junior Vest - Large
$25.00 Quantity



Junior Vest - Extra Large
$25.00 Quantity



Junior Vest - XXL
$25.00 Quantity



World Trefoil Pin - All Levels
$3.00 Quantity



American Flag - All Levels
$2.75 Quantity



Council ID Set (Junior, Cadette, Senior, Ambassador)
$7.00 Quantity



Troop Numbers (Junior, Cadette, Senior, Ambassador) - 5-Digits is one set per girl
$9.75 Quantity



Girl Scout Traditional Membership Pin (J/C/S/A)
$3.00 Quantity



Girl Scout Trefoil Membership Pin (J/C/S/A)
$3.50 Quantity



Cadette/Senior/Ambassador Insignia Tab
$4.00 Quantity



Cadette/Senior/Ambassador Sash - Regular Length
$12.50 Quantity



Cadette/Senior/Ambassador Sash - Extra Long
$12.50 Quantity



Cadette/Senior/Ambassador Vest - Small
$30.00 Quantity



Cadette/Senior/Ambassador Vest - Medium
$30.00 Quantity



Cadette/Senior/Ambassador Vest - Large
$30.00 Quantity



Cadette/Senior/Ambassador Vest - Extra Large
$30.00 Quantity



Cadette/Senior/Ambassador Vest - 2XL
$30.00 Quantity



Cadette/Senior/Ambassador Vest - 3XL
$30.00 Quantity



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