Financial Assistance Form - Uniform Components
Girl Scouts of Wisconsin Southeast (GSWISE) is committed to making sure Girl Scouting is open to all girls in our jurisdiction. If a family is unable to financially provide a uniform and/or its components for their Girl Scout, GSWISE can offer assistance. This application for financial assistance can be submitted by a troop leader or parent/guardian.
Are you a:
*
Troop Leader
Parent/Guardian
Applicant's Name
*
First Name
Last Name
Applicant's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant's Phone Number
*
Please enter a daytime phone number.
Format: (000) 000-0000.
Applicant's Email
*
example@example.com
Troop Number:
*
Service Unit:
Please Select
SU131 - Lakeside
SU132 - Girls of Franklin
SU133 - Southshore
SU134 - Green Corners
SU136 - Sherman Park
SU138 - Firefly
SU139 - NW Wonders
SU140 - Wise Girls
SU144 - Heart of Milwaukee
SU145 - Bayshore
SU199 - Heart of Milwaukee
SU201 - Alpha Moraine
SU202 - Arrowhead
SU205 - Lakeland
SU206 - Meadow Springs
SU212 - Enchanted Waters
SU216 - River Valley
SU220 - Woodland Trails
SU223 - Northern Lights
SU224 - Sun Lakes
SU226 - Sunny Trails
SU227 - Glacier Hills
SU228 - Whispering Trails
SU235 - Fox Springs
SU240 - Rising Stars
SU510 - Belles of the Lake
SU514 - Friends Forward
SU714 - Kinoje Girls
SU715 - Southport Sisters
School:
*
Which group money-earning activities has the Girl Scout participated in over the past year?
*
Fall Product Sale
Cookie Program
None
If none, explain why the Girl Scout did not participate in a Girl Scout money-earning activity. Please be specific.
Which group money-earning activities will the Girl Scout participate in this next year?
*
Fall Product Sale
Cookie Program
None
If none, explain why the Girl Scout will not participate in a Girl Scout money-earning activity. Please be specific.
Girl's Name
*
First Name
Last Name
Girl Scout Level:
*
Daisy
Brownie
Junior
Cadette
Senior
Ambassador
Back
Next
Daisy Uniform Components
Tunic S/M (6-7)
Tunic L/XL (8-10)
Council ID Set
Troop Numbers Set
Girl Scout Pin
U.S. Flag
Brownie Uniform Components
Sash - regular
Sash - long
Council ID Set
Troop Numbers Set
Girl Scout Pin
U.S. Flag
Junior Uniform Components
Sash - regular
Sash - long
Council ID Set
Troop Numbers Set
Girl Scout Pin
U.S. Flag
Cadette Uniform Components (will be used for Seniors and Ambassadors)
Sash - regular
Sash - long
Council ID Set
Troop Numbers Set
Girl Scout Pin
U.S. Flag
Select Pick-Up Location (you will receive an email once financial assistance is approved and fulfilled at this location):
*
Marion Chester Read Service Center (Milwaukee)
Woodhaven Service Center (Kenosha)
By signing my name below, I confirm that all information provided in this form is truthful and accurate.
*
Date
*
-
Month
-
Day
Year
Submit
Should be Empty: