Financial Aid Application Adult Gs Form printable pdf download

Financial Aid Application - Adult GS

Girl Scouts of Suffolk County provides a limited scholarship program to insure that no adult is denied

an opportunity to participate in Girl Scouting because of financial circumstances.

Please complete the attached application at least four weeks before the event or Destinations. Check

the appropriate box where indicated for Troop Activity or Council Trip/Event. Fill in the name of the

activity with an explanation if necessary.

Return the completed financial aid application to:

Girl Scouts of Suffolk County

442 Moreland Road

Commack, NY 11725-0386

Attn: Financial Scholarship Committee

You should receive a reply within 2 weeks of receipt of your application.

For more information, contact membership@gssc.us or call (631) 543-6622 x248

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Form Submitted By

Leader

Parent

(Check only one)

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Check one:

Council Trip/Event/Program

Destinations

Troop Activity/Equipment

Name of Event/Activity ________________________________________________________________________________

Date(s) _______________________________________________________________________________ of event/activity

Name________________________________________________________________________________________________

Address:____________________________________________City:______________________ State:_____ Zip:_________

Home Phone:________________________________________ Cell Phone:_______________________________________

Email:________________________________________________________________________________________________

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SU#_________Troop # _____________Level____________________________ New to Girl Scouting?

Yes

Leader’s Name_______________________________________________________ Phone_________________________

Address:____________________________________________City:____________________ State:_____ Zip:_________

Girl Scouts of Suffolk County • 442 Moreland Road, Commack, NY 11725 • (631) 543-6622 • gssc.us

Financial Aid Application Adult Gs Form