Form M-03 - Financial Aid Application For Girl Registration Only Form

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Girl Scouts of Silver Sage
1410 Etheridge Lane
FINANCIAL AID APPLICATION
Boise, ID 83704
(208) 377-2011 or (800) 846-0079
FOR GIRL REGISTRATION ONLY
FAX (208) 377-0504
$ 25.00 Maximum
Applicant Information (NOTE: Only Girls are Eligible for Financial Aid)
Please check with your Service Unit and Troop to see if they are able to assist with any of the cost of registration.
Name of Applicant _____________________________________________________________________________
_____________________________________________________________________________________________
Street/Mail Address
City
State
ZIP
Phone #
Service Unit # _______ Troop # _________ Troop Leader Name _________________________________________
Father's Occupation ______________________________________ Employed by____________________________
Mother's Occupation _____________________________________ Employed by ___________________________
Name of Parent/Guardian _________________________________________Phone__________________________
Mailing Address________________________________________________________________________________
Street
City
State
Zip
Describe fully the family's financial need (to be completed by parents of girl applicants).
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Financial Aid Request (NOTE: Girls are encouraged to pay any amount they can afford)
Amount requested $___________________
Other Sources of Funding
Questions for Parents regarding Cookie sale participation:
Did applicant participate in this year's Cookie Program? ___yes ___no___
Did she earn Cookie Dough/Bonuses? ___yes ___no If not, why?_______________________________________
If yes, are some being applied toward registration? ____yes ____no
If yes, amount $__________ If not, why? __________________________________________________________
Questions for Troop Leader:
Does the Troop have funds available to help? ___yes ___no
Amount $_________
Does the Service Unit have funds available to help? ___yes ___no
Amount $_________
Authorization
____________________________________________________________________________________________
Signature of Parent/Guardian
____________________________________________________________________________________________
Signature of Other Adult in lieu of Parent/Guardian*
______________________________________________________________________________________________________
Volunteer Support Team
*Indicates you have received approval from the parent/guardian to sign in their place.
Give this completed form with the girls registration to your Troop Leader who will forward it to the Volunteer
Support Team at the Boise Council office.
M-03 (8/2012)

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