Girl Scouts–North Carolina Coastal Pines
6901 Pinecrest Road
Raleigh, NC 27613
919.782.3021 ⧫ www.nccoastalpines.org
Girl Scout Gold Award Project Funding Agreement
The Girl Scout Gold Award Project Funding Agreement must be completed if you elect to raise funds for your
project through grants or business/organization donations. This form must be signed and submitted with your
proposal.
The following guidelines must be followed when raising funds for a Girl Scout Gold Award project:
• All contributions are to be used specifically for the purpose of the Girl Scout Gold Award project.
• All contributions must be recorded as income on the Girl Scout Gold Award Project Record of Income and
Expenses. A complete accounting record of all income and expenses along with receipts is required upon
completion of the Girl Scout Gold Award project. All income and expenses should be tracked throughout
the duration of the project, but funding cannot be attained prior to approval of your proposal by the Gold
Award committee.
• Any contributions greater than $250 are to be sent to GS–NCCP along with the completed Receipt of
Contribution Form. It is important that you print legibly when completing the Receipt of Contribution
Form or the funds could be delayed in processing. After the contribution check is recorded, the funds will
be issued to the girl in a check made payable directly to the girl. Allow 3-5 days for processing.
• Contribution checks should be made payable to Girl Scouts–North Carolina Coastal Pines and mailed
to:
Girl Scouts–North Carolina Coastal Pines
Attention: Gold Award Funding Counselor
6901 Pinecrest Road, Raleigh, NC 27613
• Any unused funds must be returned to GS–NCCP to be used to offset Girl Scout Gold Award program
administrative costs.
Name of Gold Award Candidate: _______________________________________________________
Name of Parent/Caregiver: ___________________________________________________________
Caregiver Phone Number: (_____) ______________________________________________________
Caregiver Email: ____________________________________________________________________
I _______________________________________ (Girl’s Printed Name) have discussed with the Gold Award
funding counselor either grant writing or business/organization donations. I understand that crowdsourcing such
as Go Fund Me, Network for Good, and via Facebook are not permitted by GS-NCCP. Donations should not
exceed the estimated expenses. A complete accounting record with receipts is required at the completion of the
project. I also agree that at the completion of my project any unused funds must be returned to GS–NCCP to be
used to offset Girl Scout Gold Award program administrative costs.
Girl Scout’s Signature: ______________________________________________ Date: _____________
Parent/Caregiver Signature: _________________________________________ Date: _____________
Gold Award Funding Counselor Signature: ______________________________ Date: _____________
