Program Credit Transfer Request

Program Credit Transfer Request

form #238 | 08/25
Submitting a Program Credit Transfer Request facilitates the transfer of Program Credits to group accounts for Girl Scouts to participate in programmatic activities. Program Credits are individual recognitions earned by Girl Scouts for participation in GSOSW sponsored Product Programs. Program Credits include Cookie Program Credits, Adventure Pass, Fall/Nut Credits, and Pathway Cards.
Program Credit Transfer Request Guidelines:
By submitting this form, you accept understanding on compliance of all terms listed above.

Program Credit Transfer Request

When filling out this form, you have to option to save your work and return to it later if needed. Be sure to select submit once the form is filled out.
Submitted By*
Your Troop Number
Leave blank if not applicable
Service Unit
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Include any other emails to receive confirmation and updates for this request
Separate multiple emails with a comma - example@email.com, ex2@email.com
Credits used for:*

Service Unit EventTroop Event/ActivityTravel - Short Trip (Troop/Patrol)Travel - Extended/International (Troop/Patrol)Travel - GSUSA Destination (Individual)Day CampOther

Program Credit Transfer Request — Day Camp
Day Camp Reminders:
- Program Credit may not be used towards adult or non-Girl Scout sibling fees.
- Credit sharing between registered girl members is permitted.
  - If you are unable to get the written permission for Girl Scouts sharing credits, still submit the request. Council will do its best to get the permission and will notify you of any updates.
- If your camp offers additional options like sweatshirts, Girl Scouts can use their program credits towards those costs as well. Adjust the "amount to charge" section on the next page to reflect any additional purchases.
Camp Name*
Cost of Camp per Youth*
Last four (4) digits of bank account for deposit (ACH)*

Program Credit Transfer Request — Transfer Details
All Program Credit allocations will be paid out via direct deposit to the account number listed below. This account should be owned by the Service Unit/Troop/Patrol listed earlier and is hosting the event/activity.
Last four (4) digits of bank account for deposit (ACH)*

Program Credit Transfer Request — Travel
Travel Information*
How will GSOSW pay for your GSUSA Destination?*

Payment to EF ToursReimbursement for out-of-pocket paymentPayment to the hosting Girl Scout CouncilOther
Based on your payment type, please write in your payment information or upload the following documentation:
- Payment to EF Tours - Log in information and/or link to participants account for payment.
- Reimbursement for out-of-pocket payment - Copy of reciept of payment.
- Payment to the hosting Girl Scout Council - Information provided by the hosting Girl Scout Council on how payment should be made.
- Other - Information on how payment should be made including contact of recieving party, reference/account number for the Girl Scouts account.
  - If your troop will be making the payment from their account, please include your Troop Number and the Troops last 4 digits of their bank account (ACH)
Write in Payment Information:
Travel Approval & Documentation Upload

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Program Credit Transfer Request

When filling out this form, you have to option to save your work and return to it later if needed. Be sure to select submit once the form is filled out.
Card Information: Please include the 17-digit number with no spaces. Do not include the pin number.*
Total Amount Requested:*
Add the amounts for all listed cards above
One or more Girl Scouts will be sharing their Program Credits
I have received handwritten notice from the card owner noting their intent to share credits, with whom, for what purpose and in what amount, and will submit documentation below:

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Should be Empty:

Program Credit Transfer Request — Day Camp