Specific Assistance Form
Name (of person receiving funds): Date:
Phone Number: Email:
District: Unit Type: Unit Number:
Charter Partner:
Explanation of Needed Funds:
REGISTRATION: Registration Fee Feb $33.00 x Youth Registration Fee $ = March $30.25 (# of Youth) April $27.50 May $24.75 x Adult Registration Fee $ = June $22.00 (#of Adults) July $19.25
August $16.50 x $1.00 Flint River Council Insurance = (Total Youth & Adults) Sept $13.75 Oct $11.00 x $40.00 Unit Charter Fee = Nov $8.25 (new or renewing units only) Dec $5.50 Jan $2.75
SPECIFIC ASSISTANCE (CAMPERSHIPS, UNIFORMS, TRAINING, ETC)
Name of Event:
Date of Event:
Total Amount Needed: $ In the last year my unit has participated in: Amount Provided by Family $ Popcorn Sale Camp Card Sale Amount Provided by Scout Unit $ Friends of Scouting
Amount Requested from the Flint River Council: $
Submitted By: Relation to Scout/ Scouter:
Phone Number: Email:
Required Approval Signatures
Charter Organization Representative District Executive
Assistant Scout Executive *Completely signed form and receipt must be turned into the accounting specialist
What is Specific Assistance?
The Flint River Council has created Specific Assistance as a way to provide Scouting programs to youth and adults who otherwise can’t afford it/ Funding is provided from sources such as The Friends of Scouting Fundraising Campaign, Popcorn Sale, United Way and the Camp Card Sale.
Specific Assistance is available to provide funding assistance to youth and adult Scouters for:
- BSA Field Uniform - Membership Registration - Camperships in the Flint River Council - Adult and Youth Training in the Flint River Council
When completing the request form, it is expected that the family will pay as much as possible for the need, with the Scout’s Scouting Unit being consulted as well.
To be eligible, a youth or adult’s unit must have or will participate in the following: - Popcorn Sale - Family Friends of Scouting Presentation - Camp Card Sale
Due to limited funds, Specific Assistance is unavailable for: - Philmont Sea Base - National or World Jamboree - Non-Flint River Council activities and camps - Needs based on multiple children in the Scouting program (ie- older son is going to Philmont, younger son requests Specific Assistance for Camp Thunder)
A request for Specific Assistance may be made by a parent or a Scout’s unit leader, and must be approved by the District Executive, Assistant Scout Executive, and Chartered Organization Representative. Requests are generally approved within 5 business days or receipt at the Flint River Council Service Center.
Specific Assistance forms are available at the Flint River Council Service Center and from your local District Executive. For additional information please contact your District Executive or Assistant Scout Executive.
Flint River Council Service Center 1361 Zebulon Road Griffin, GA 30224
770-227-4556
*Completely signed form and receipt must be turned into the accounting specialist