Request for Award Ceremony Stipend

This application is for a $50 stipend to help cover 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 with Girl Scout members who earned a Bronze or Silver Award during the current or previous membership year and plans to host a celebration to recognize all awardees from the service unit.

We recommend contacting all your troop leaders to request a list of Bronze and Silver award earners. This will allow you to send them a special invitation to your event and recognize their names during the celebration. And don't forget to include your Juliette Girl Scouts!

Please complete the form below at least four weeks before 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. (For example, submitting the request in December 2024 for a February 2025 event will count for the 2025 stipend.)

If approved, the $50 will be ACH'd into the Service Unit bank account approximately one month before the event date.

If you have any questions, please contact the council at info@gsnypenn.org or Customer Service at 1.800.943.4414, 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

To prevent confusion, please submit this application only once. Do not resubmit the application if you need to update or add information. Instead, email the updated details 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