Girl Scouts - Great Rivers Council, Inc.

 

Troop Program Activity Report

To Support Individual Requests for Scouterships


INSTRUCTIONS:

If individual girls within a troop wish to apply for a scoutership for a troop activity the troop leader will:

  • Ensure that the scoutership philosophy and guidelines are followed (see Section D of the Adult Resource Guide).

  • Complete and submit this form to the Girl Scout Center.

  • Provide parents/guardians with the link to the Request for Scoutership online form, or with a paper form and a return envelope.

  • Parents/guardians will submit or mail the scoutership requests directly to the Girl Scout Center.

  • Parents/guardians are expected to contribute some portion of the activity cost.

Service Unit Name: Service Unit #:

Leader's Name: Troop #:

Address:   City: State: Zip:

Phone #: Cell phone #: E-mail:

Name/Type of Event: Dates:

Total Troop Participants: Girls + Adults = Total


Program Planning

 

Program activities/skills planned or completed by troop/group that support this activity:

Skills and learning experiences that girls want to accomplish through this activity:

Has the troop/group participated in event/activity planning?

If yes, how long? months       years

 

Event Budget

Expenses Troop Cost

Cost per Individual

(troop cost divided by # of individuals)

Event Fee $ $
Transportation $ $
Lodging $ $
Food $ $
Other $ $
Total Activity Cost $ $

 

TOTAL ACTIVITY COST

Is the cost for adults different than the cost for girls? 

If yes, why?

 

Cost (individual girl) $ X Total Girls = Total Girl Cost $
Cost (individual adult) $ X Total Adults = Total Adult Cost $

Total Girl Cost + Total Adult Cost = Total Troop Activity Cost

$

Please note:  Adults are eligible to apply for scoutership for troop activities only when the participation of that adult is required to ensure that Safety-Wise guidelines are fulfilled.

 

TROOP MONEY-EARNING

Has the troop/group participated in money-earning activities to support this program activity?  (Required for scoutership eligibility)

 

Please list specific money-earning activities planned or completed:

ACTIVITY DATE ACTIVITY DESCRIPTION ESTIMATED EARNED ACTUAL EARNED
$ $
$ $
$ $
$ $

TOTAL MONEY EARNED

$ $

 

EVENT INCOME

Family Share Total amount contributed by all parents/guardians $
Girl Share Total amount contributed as a result of the independent efforts of the individual girls.  Troops may choose to combine this category with either the family share or the troop share.  If so, please leave this line blank. $
Adult Share Total amount contributed by adult participants $
Troop Share Total amount contributed from troop treasury, including troop money-earning activities. $

 

TOTAL INCOME

Did you complete the following?  Please select "Yes" or "No" and fill in the "Date" field.

STEPS YES/NO DATE
Is the troop registered?
Are all participants registered?
Event Registration Form filed
Troop Trip Notification Form filed
Approval for Additional Troop Money-Earning Project form filed
Application for Additional Insurance filed
Troop/Group Financial Report completed for previous year