Girl Scouts of Wisconsin Southeast Scholarship Request

Girl Scouts of Wisconsin Southeast Scholarship Request

THIS FORM IS TO REQUEST SCHOLARSHIP FUNDS (formerly FA) FOR CAMP AND/OR EVENTS.
FOR CAMP & EVENT REQUESTS: Please sign up for your camp or event before you fill out this form. When you sign up for camp, you can choose to pay just the deposit first. If you do not sign up, we cannot process your form.
I am applying for

Camp ScholarshipEvent Scholarship (maximum of three events per membership year)
Name of Camp/Event and Price
Does your family qualify for:

Free School LunchReduced Price School LunchWe do not qualify for either
Number of people in household
Household Annual Income

Tell Us About Your Family
Guardian First & Last Name*

First NameLast Name
Family Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide a brief explanation of why your family is requesting a scholarship for camp.*

You will receive an email from customercare@gswise.org when your scholarship application has been reviewed. This email will provide you with more details.
By typing my name and checking this box, I confirm that all the information I have provided in this form is truthful and accurate.*

Agree
Parent/Guardian Virtual Signature*

Clear
Today's Date*

MonthDayYear
Date

Tell Us About Your Family