NL – The Sharron Callahan Member Assistance Fund application for adult members Name(Required) First Last iMIS #(Required) Email(Required) Enter Email Confirm Email District Unit Guiders and those registered at the district levelAreaCon Ba SuEastern BaysLong Range TrailsNorthern MosaicOcean's EdgeTrefoil CentralTuckamoreTrefoil Guild and other members not registered at the district level Amount requested for adult membership fee (50% maximum)This amount will be sent to your district or area through Unified Banking transfer. You would pay the balance to your district or area.Amount requested for adult uniform shirt (50% up to $25 maximum)Please specify adult uniform piece Please indicate why financial assistance is requested at this time.(Required)Examples of need for financial assistance include family size, single caregiver, or any circumstance that affects your ability to pay these expenses.Agreement(Required) I agreeI understand that the Newfoundland and Labrador Council through the Sharron Callahan Member Assistance Fund provides financial assistance to members who are not otherwise able to pay for membership fees or uniform. I also understand that the full amount requested may not be available if there are many requests. If funding is not approved, I understand that I am responsible for payment of these amounts. I also understand that all members are expected to participate in the sale of Girl Guide cookies.Applicant Signature By typing your name in this box you are providing your signature.Privacy Statement We protect and respect your privacy. Your personal information is used to communicate within our organization. We do not provide or sell this information outside our organization. For further information, see our Privacy Policy at www.girlguides.caCAPTCHAIf a CAPTCHA error occurs, try opening the form in a Private Browsing or Incognito Tab. You can also try clearing your browser cache (cookies). We recommend completing our forms on a desktop computer, using Chrome or Firefox.