{"id":4564,"date":"2021-11-25T10:09:26","date_gmt":"2021-11-25T15:09:26","guid":{"rendered":"https:\/\/can.girlguides.ca\/?page_id=4564"},"modified":"2026-07-28T10:07:18","modified_gmt":"2026-07-28T14:07:18","slug":"nl-the-sharron-callahan-member-assistance-fund-application-for-adult-members","status":"publish","type":"page","link":"https:\/\/can.girlguides.ca\/index.php\/nl-the-sharron-callahan-member-assistance-fund-application-for-adult-members\/","title":{"rendered":"NL &#8211; The Sharron Callahan Member Assistance application for adult members"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_482_2'><span class='gform-field-label__text'>iMIS #<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_482_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_482_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_482_3_container'>\n                                <span id='input_482_3_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_3' id='input_482_3' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_482_3' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_482_3_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_3_2' id='input_482_3_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_482_3_2' 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gfield--input-type-number gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_482_7'><span class='gform-field-label__text'>Amount requested for adult membership fee (50% maximum)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_7' id='input_482_7' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_482_7\" \/><\/div><div class='gfield_description' id='gfield_description_482_7'>For Trefoil Guild and other members who pay their own membership fee, the subsidy will be deducted from your balance owing.<\/div><\/div><div id=\"field_482_15\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_482_15'><span class='gform-field-label__text'>Amount requested for adult uniform shirt (50% up to $25 maximum)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_15' id='input_482_15' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_482_15\" \/><\/div><div class='gfield_description' id='gfield_description_482_15'>For Guiders registered at the district level, this amount will be sent to your district through Unified Banking transfer. You would pay any balance to your district.<\/div><\/div><div id=\"field_482_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_482_14'><span class='gform-field-label__text'>Please specify adult uniform piece<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_482_14' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_482_8\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_482_8'><span class='gform-field-label__text'>Please indicate why financial assistance is requested at this time.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_8' id='input_482_8' class='textarea large'  aria-describedby=\"gfield_description_482_8\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_482_8'>Examples of need for financial assistance include family size, single caregiver, or any circumstance that affects your ability to pay these expenses.<\/div><\/div><fieldset id=\"field_482_9\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Agreement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_9.1' id='input_482_9_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_482_9\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_482_9_1' ><span class='gform-field-label__text'>I agree<\/span><\/label><input type='hidden' name='input_9.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_9.3' value='142' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_482_9'><div class='gfield_consent_description_text' tabindex='0'>I understand that the Newfoundland and Labrador Council through the Sharron Callahan Member Assistance 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.<\/div><\/div><\/fieldset><div id=\"field_482_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_482_13'><span class='gform-field-label__text'>Applicant Signature<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_482_13' type='text' value='' class='large'  aria-describedby=\"gfield_description_482_13\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_482_13'>By typing your name in this box you are providing your signature.<\/div><\/div><div id=\"field_482_10\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p><em>Privacy Statement<\/em><\/p>\n<p><em>We protect and respect your privacy.&nbsp; 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