Program Information

Council-Sponsored Programs Financial Assistance
This form should be submitted as soon as you register for a program in gsEvents, but is due no later than 2 weeks prior to the program start date.

Girl Scouts can be awarded financial assistance for TWO Council-Sponsored programs per year in addition to being awarded financial assistance for summer camp and uniforms.
Is this a request for a youth member or an adult member?
Girl Name

First NameLast Name
Adult Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
County
Troop Number
Name of Troop Leader

First NameLast Name
Troop Leader E-mail
example@example.com
How long have you (if adult request) or your child (if a youth request) been a Girl Scout (in years)?

Program Information
Program Name
Program Location
Program Date

MonthDayYear
Date
Are you registered for this program in gsEvents?
You must be registered for your program in gsEvents and pay any applicable deposits in order to apply for financial assistance.
Program Fee
How much will your family be able to contribute to this fee (this can include or be the deposit amount)?
How much financial assistance are you requesting for this program?
Have you ever received financial assistance from GSMIDTN in this Girl Scout year (October 1, 2025 - September 30, 2026)
Has your troop/your Girl Scout participated in Product Program Sales?
What is your total household income?
How many people live in this household (adults and children)?
What are the ages of any children living in this household?
Why do you/your Girl Scout want to attend this program?
Describe any circumstances that explain your need and/or please include any information that you think we would find helpful.
I certify that all of the information I have provided in this application are true. I understand that if I am awarded financial assistance and cancel my program registration outside of the cancellation window, that I risk losing the opportunity for other financial assistance this year.
Should be Empty:

Council-Sponsored Programs Financial Assistance