Opportunity Fund Application

The Opportunity Fund is a reflection of the commitment of GSNMT to continue to better serve our members, providing girls and adults the opportunity to become future leaders and the women they want to be. The fund was designed to provide financial assistance and opportunities to girl members, adult volunteers, Troops, and Service Units, to make sure girls in all of our communities have the opportunity to benefit from Girl Scouts.

Applications are reviewed on a monthly basis (more frequently during product program sales). Approval notifications are emailed to the requester, as well as the Troop Leader, if necessary. Funds cannot be requested retroactively or issued as reimbursements for money paid out-of-pocket.

Service Unit

Troop Number

Troop Leader Name

Please select who Opportunity Fund Application is for and complete information below.

Daisy

Brownie

Junior

Cadette

Senior

Ambassador

Adult

Troop

Service Unit

First Name

Last Name

Street Address 1

Street Address 2

City

State / Province

Postal / Zip Code

Country

Phone

Girl's Date of Birth

Current Grade

School Attended

Adult completing form: select your relationship to applicant and complete contact information below.

Parent

Caregiver

Troop Leader

Self

Other

First Name

Last Name

Street Address 1

Street Address 2

City

State / Province

Postal / Zip Code

Country

Adult Date of Birth

Phone Number

Please state the reason financial assistance is requested. This information may be helpful in the consideration of this application. If a request is for a girl or volunteer, please let us know any extenuating financial circumstances related to this request.

Opportunity Funds Requested For

National Membership Dues (GSUSA $25 Annual Fee)

Council Service Fee (CSF is only for girl membership) (GSNMT $15 Fee)

Girl Scout Membership Pins & Tab (will be provided for the program level listed above)

Sash/Vest (specify type and size below)

Program Event Fee or Training Fee (Complete Event/Training information below)

If requesting Opportunity Fund for Sash or Vest, specify type and size needed

If requesting Opportunity Fund for Program or Training, provide name of event and cost to attend

For girls applying: did you or will you participate in the Fall Product Program?

Yes

No (provide reason below)

If you answered no above, please provide explanation why not:

For girls applying, did you or will you participate in the Cookie Program

Yes

No (provide reason below)

If you answered no above, please provide explanation why not:

Total Opportunity Fund Amount Requested