Girl Scouts of Southern Nevada Financial Assistance Application MY2025

Girl Scouts of Southern Nevada Financial Assistance Application MY2025

For girls, the Girl Scout Financial Assistance covers a percentage of the membership fee, and basic uniform costs. Girl Scouts must participate in at least one product program and meet the requirements for a participation patch to qualify for additional Financial Assistance. For adults, the Girl Scout Financial Assistance covers a percentage of the membership fee. Adults must take on a leader or service unit position to be eligible for Financial Assistance. Please ensure to complete the application in its entirety by adding the required documents and explanation of extenuating circumstances. Please note: The form must be completed by the parent/caregiver of girl applicants.

Membership Year*

Select

Membership Type*

Girl

Girl uniform only

Adult

Applicant First Name*

Applicant Last Name*

Applicant DOB*

Grade Level*

Select

School*

If you are applying for an adult scholarship, please put N/A.

Caregiver First Name*

Caregiver Last Name*

Caregiver DOB*

Email Address*

Phone Number*

Home Address*

Adult Role*

Adults must take on a Leader, Juliette Mentor or Service Unit Position to be eligible for a scholarship. If this is for a Girl Membership, please select "Girl Application"

Troop Leader

Service Unit Position

Juliette Mentor

Girl Application

Troop #*

You can search for a troop in your area by using this link: https://mygs.girlscouts.org/ If you are not able to find a troop, please contact our office for further assistance

Girl Scout Membership*

How many years have you been a member of Girl Scouts of Southern Nevada?

Select or enter value

Scholarship or Campership Received*

Have you received a membership scholarship or campership in 2023-2024? Check the box below of the amount awarded below.

Select or enter value

GSSNV Financial Assistance*

Amount of Financial Assistance Received this year from GSSNV

Select or enter value

Number of Dependent Children Living at Home*

School Lunch Program*

Does your Girl Scout participate in the free/reduced lunch program? If yes, attach the 2023 - 2024 approved letter.

Select or enter value

File Attachments*

Please attach one of the following supporting documents in order for us to process your Financial Assistance Application: o A copy of your 2022 (or later) Tax Return (not W-2 forms) o A copy of your current TANF, SNAP, or Medicaid award letter o A copy of your Foster Child Custody letter

Drag and drop files here or

Extenuating Circumstance

Are there any extenuating circumstances that you believe make you eligible for a Girl Scout Scholarship? Documentation is required to support any extenuating circumstances & should be uploaded above.

By checking the box below & submitting this form, you agree to the terms listed at the top of this page*

Send me a copy of my responses

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