Request for Award Ceremony Stipend

This is the application for a ceremony stipend of $50 towards the cost of a Service Unit Bronze and/or Silver Award celebration or recognition event.

Important information. Please read before filling out the form.

Who can apply for this?

A Service Unit Manager that has Girl Scouts in their service unit who earned a Bronze or Silver Award and is hosting a service unit celebration where all awardees from the service unit are invited to be recognized.

*We recommend you reach out to all your troop leaders to ask them for a list of Bronze and Silver award earners so you can extend them a special invitation to your event and recognize all their names at the celebration.

Complete the form below at least three weeks prior to the event. All fields must be completed for consideration.

Only Service Unit Managers may apply for the stipend.

Your service unit may only request one stipend for one event per calendar year. This is based on the date the event is held, not the date you submit the request. (So if you submit the request in December 2023 for a February 2024 event it will count for the 2024 stipend.)

If approved the $50 will be ACH'd into the Service Unit bank account.

If you have any questions please contact Council at info@gsnypenn.org or call Customer Service at 800.943.4414, option 2.

Service Unit Number*

Service Unit Manager Name*

Only a Service Unit Manager can request a stipend.

Service Unit Manager's Email address*

example@example.com

Have you submitted an ACH Form? If no, please send an email to Cindy Neverette at cneverette@gsnypenn.org to obtain one.*

Yes.No.

ACH forms are necessary to electronically deposit the funds to your troop

Address to which check is to be mailed*

Troop Numbers of Award Recipients Invited*

Also, be sure to check if you have any Juliettes who have earned an award.

Address to which Silver or Bronze Award folders are to be mailed to*

Date of Service Unit Celebration Event*

Time of the Event

Location of Event*

Would you like a council staff member to come to your event?*

Please indicate if you have already contacted a council staff member to attend your event and their name.

Please send us pictures from your event! We may share them on our social media, so be sure everyone in the photos is okay with you sharing them with the council. Photos can be emailed to awards@gsnypenn.org

Bronze and Silver Award Girl Scouts worked very hard on earning their awards and we appreciate your service unit planning a special celebration to recognize their efforts.

THANK YOU!

Service Unit request for Silver and/or Bronze Award Ceremony Stipend