FUNDED UNIT APPLICATION

NOVA SCOTIA COUNCIL

Please complete all parts of this form. Attach additional information if necessary. This form is submitted to your Provincial Office

Nova Scotia Council, and Areas, will provide support to eligible units for one year. Units may reapply additional funding for a second year.

I am applying Unit Funding for year 1___ or year 2___ for this unit- please check year.

PART A: UNIT DETAILS

Unit Name: / iMIS #
Area / Admin. Community iMIS# / District iMIS#
Unit Contact Guider Name: / iMIS #:
Contact if other than Guider: / iMIS #:
Contact email:

PART B: UNIT DESCRIPTION

Branches: / Sparks 5-6 / Brownies 7-8 / Guides 9-11
(please check all that apply) / Pathfinders 12-14 / Rangers 15+ / Lones
Is this a new unit? / Yes No / Number of girls expected:
Community/Neighbourhood:
Please provide a brief description of the community or neighbourhood where the girls live, indicating factors that limit accessibility to Guiding, or any other information about the needs of the girls:
Please type in the grey box which will expand to accommodate your needs:
Please note: Girl Member Uniform assistance is available. Parents are asked to complete the Guiding Assistance Form or contact to discuss.

PART D: PROPOSED BUDGET

It is acknowledged that some members may choose to register via the normal process, therefore Membership funding is not required for those members. Unit Support, however, will be funded for all members regardless of how they registered.
Please complete the budget worksheet, indicating all expected expenses for the Guiding year, for individual girls as well as Guiders and unit(s).

Girl Expenses

/

YEAR 1

Request:

/

Provincial

Contribution

/

YEAR 2

Request:

/

Provincial

Contribution

NEW girls registered Membership= $60 X #
Existing members requesting assistance Membership= $60 X # (Year 2 girls and transferring members)
Unit Support: (all members)
Sparks # @ $50
Brownies # @ $50
Guides # @ $50
Pathfinders # @ $50
Rangers # @ $50
Total amount requested

Guider Expenses

/

YEAR 1

Request:

/

Area

Contribution

/

YEAR 2

Request:

/

Area

Contribution

Unit Start Up Fund
Resources (Guider books, song books, badges, meeting space etc)
Total amount provided
Guider Membership Fees, Uniform Shirt & Pin Tab and Training costs (Area, e-learning & Provincial trainings) are funded by the at the Area level via the Financial Flow Document (2012- revised 2017)

ApplicationCompleted by: Date:

FOR OFFICE USE ONLY

Budget Requested:
Budget Approved:
Comments:
Approved by: / (Please print full name) / iMIS#
Provincial Office:
Date

We protect and respect your privacy. Your personal information is used only for the purposes stated on or indicated by the form. For complete details, see our Privacy Statement at or contact your provincial office or the national office

Revised Nov 2017 (replaces form dated August 2011 , 2012)