Appalachian Strong Fund Request and Distribution Form

Girl Scouts of Southern Appalachians is committed to distributing 100% of the funds raised through the Appalachian Strong campaign to Girl Scouts in our region who were impacted by Hurricane Helene.

If your troop or service unit was affected, we encourage you to submit a funding request by completing the information below. These funds are intended to support Girl Scout-related activities, such as replacing lost materials, covering membership dues, and ensuring the continuation of programming for girls impacted by this disaster.

While we aim to assist every request, our available funds are limited. A committee will thoughtfully review each submission to allocate resources where they will make the greatest impact on our Girl Scouts.

*Please note: While funding requests exceeding $200 are accepted, the committee will prioritize smaller requests ($200 and under) to support a greater number of troops and service units rather than allocating larger amounts to fewer troops and service units.

Contact Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is this request for a troop or service unit?*

Service Unit #*

Troop #*

Please share how the funding will be used by the troop or service unit*

Girl or adult uniform, badge/patch, and regalia replacementProgramming material replacement: paper, scissors, markers, etc.General supply replacement: cookie booth setup items (tables, tablecloths, display items, canopy), outdoor gear (tents, backpacks, flashlights, sleeping bags), etc.Financial assistance needed for Girl Scout membership duesOther

What is the requested amount?*

Please provide 2-3 sentences about your troop's or service unit's need and how many girls will be impacted by the funding.*