Girl Scouts in the Heart of Pennsylvania

Building girls of courage, confidence and character in central and northeastern PA

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Frequently Used Forms


The following forms and documents are available for downloading. The PDF files require a reader program for viewing. You can download the free Adobe Reader from Adobe's download site by clicking on the icon. The editable Word documents require Microsoft Word 97 or later to fill out using your computer. The e-forms must be filled out electronically and submitted online.

Any questions, please call 800.692.7816.
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Awards and Achievements

  • GSHPA Scholarship Application | Editable Word Doc
  • President's Volunteer Service Award Form | PDF | Editable Word Doc
Girl Scout Gold Award
  • Girl Scout Gold Take Action Project Toolkit | PDF
  • Gold Award Letter of Intent | PDF | Editable Word Docx
  • Gold Award Take Action Project Proposal Form | PDF | Editable Word Docx
  • Gold Award Take Action Project Timeline | PDF | Editable Word Docx
  • Gold Award Take Action Project Budget | PDF | Editable Word Docx
  • Gold Award Take Action Project Log | PDF | Editable Word Docx
  • Gold Award Take Action Project Final Report | PDF | Editable Word Docx
  • Gold Award Request for Monetary Donations | PDF | Editable Word Docx
Girl Scout Silver Award
  • Girl Scout Silver Award Booklet | PPF
Girl Scout Bronze Award
  • Girl Scout Bronze Award Booklet | PDF

Camp/Site Rentals

2012 Summer Camp
  • Sleep Away Camp Registration | PDF
  • Campership Application (Financial Assistance) | PDF | Editable Word Doc
  • Adventure Bound | PDF | Editable Word Doc
  • Counselor-in-Training (CIT) Program Application | PDF | Editable Word Doc
  • Troop Adventure Camp (TAC) Registration | PDF | Editable Word Doc
  • Financial Assistance Request for Day Camp/Troop Adventure Camp | PDF | Editable Word Doc
  • Family Camping Registration | PDF | Editable Word Doc
  • Sleep Away Camp Health History Form | PDF
Site Rentals
  • Campsite Report | PDF | Editable Word Doc
  • Check-in/Check-out Harrisburg Area Service Center | PDF | Editable Word Doc
  • Council Site Reservation (GSHPA Members) | PDF
  • Council Site Reservation (Outside Groups) | PDF
  • Usage Fees for Equipment and Facilities | PDF

Council Store

  • Council Store Mail Order Form | PDF

Financial/Record Keeping

  • Disbanded Troop/Group Funds Form | PDF
  • Financial Assistance Request for Adults/Girls | PDF | Editable Word Doc  NEW for 2011-2012!
  • Financial Assistance Request for National Membership Dues | PDF | Editable Word Doc
  • Request for Troop/Group Money Earning Project | PDF | Editable Word Doc
  • Tax Exemption Information | PDF
  • Tax Exemption Form | Contact your Membership Associate
  • Troop/Group Detailed Cash Record Worksheet | PDF | Editable Word Doc
  • Troop/Group Finance Report | PDF | Editable Word Doc | MS Excel
    • Instructions for Troop/Group Finance Report

Health Related

  • Adult Health History Form | PDF | Editable Word Doc
  • Girl Health History Form | PDF | Editable Word Doc
  • Medical Information Release Form | PDF
  • Resident Camp Health History Exam | PDF

Permission

  • Parent/Guardian General Permission Form | PDF | Editable Word Doc
  • Parent/Guardian Permission for Activities Form | PDF | Editable Word Doc

Product Sales


Fall Product Program

The 2011 Fall Product Program starts September 12!

  • 2011 Fall Product Rally Order Form | e-form
  • ACH Authorization Form (Credit/Debit Authorization) | PDF
  • Incentive Kit Rental Form | eform
  • Parent Permission Slip | English | Espanol
  • Parent Uncollected Funds | PDF
  • Service Unit Fall Product Manager Agreement | PDF
  • Service Unit Fall Product Manager Envelope | PDF
  • Service Unit Fall Product Manager Job Description | PDF
  • Share Receipt Thank You | PDF
  • Troop Fall Product Manager Agreement | PDF
  • Troop Fall Product Manager Envelope | PDF
  • Troop Fall Product Manager Job Description | PDF
  • Troop Uncollected Funds | PDF

Cookie Program

The 2012 Cookie Program starts January 4!
  • Cookie Rally Registration and Order Form | e-form
  • Certificate of Insurance | e-form
  • Cookie Costume Rental | e-form
  • Cookie Incentive Kit Rental Form | e-form
  • Participation Permission | English | Spanish
  • Universal Manager's Agreement | PDF
  • Universal Balanced Owed Report | PDF
  • Project Cookie Jar Receipt | PDF
  • ACH Authorization Form (Credit/Debit Authorization) | PDF
  • Goal Getter Order Card | PDF

Program/Training

  • Program Registration | PDF | Editable Word Doc
  • Grab n' Go Reservation Form | PDF | Editable Word Doc

Service Units

  • 100th Anniversary Mini Grant | PDF
  • Budget Forecast | PDF | Editable Word Doc
  • Forever Green Mini Grant | PDF
  • Girl Membership by Service Unit as of 9/30/2010 | PDF
  • Report of Service Unit Council Delegate Election | PDF | Editable Word Docx
  • Treasurer Report | PDF | Editable Word Doc
  • Troop/Group Finance Report | PDF | Editable Word Doc

Trips/Travel

* Please note: A troop roster MUST accompany every trip form!
  • Additional Insurance Coverage for Travel | PDF | Editable Word Doc
  • Camp Site Reservation (GSHPA Members) | PDF
  • Camp Site Reservation (Outside Groups) | PDF
  • Emergency Card | PDF
  • Foxfire Live-in Request Form | PDF
  • Incident Report Form | PDF
  • Troop/Group Travel Roster | PDF | Editable Word Doc
  • Troop/Group Trip Application | PDF

Troops/Leaders (Miscellaneous)

  • Certificate of Insurance | e-form | Guidelines for when COI is needed | PDF
  • Girl Scout - GSHPA Membership Card | PDF | Multiple on a page
  • ID Pin Order Form | PDF | Pin Types Available
  • Troop Attendance Record | PDF
  • Troop Dues Record | PDF

Volunteer Application Forms

  • Board Referral Form | PDF
  • Volunteer Application | PDF
  • Volunteer Disclosure and Authorization | PDF

Volunteer Recognition Awards

  • Volunteer Recognitions Booklet | PDF
    • Application for GSUSA President's Award | PDF | Editable Word Doc
    • Service Unit Level Approved Adult Awards Nomination Forms | PDF | Editable Word Doc
    • Service Unit Level Endorsement Form | PDF | Editable Word Doc
    • Board Approved Adult Awards Nomination Forms | PDF | Editable Word Doc
    • Board Level Endorsement Form | PDF | Editable Word Doc
    • Progressive Volunteer Achievement Awards Nomination Form | PDF | Editable Word Doc
    • Service Unit Summary & Receipt for Completed Recognition Requests/Nominations | PDF | Editable Word Doc


© 2009, GSHPA | 350 Hale Avenue | Harrisburg, PA 17104 | Ph: 800.692.7816 or 717.233.1656 | Fax: 717.234.5097
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