Gold Award Project Propos GSNETX Gold Award Final Report Page 1 of 7 www.gsnetx.org/goldaward Revised January 2013 After you have completed your Girl Scout Gold Award project, use this form to share the details of your project and information about what you learned with the Girl Scout Gold Award Committee. Information about the Girl Scout Gold Award process can be found in the Girls’ Guide to Girl Scouting for Seniors or Ambassadors beginning on page 2. This form should be accompanied by the GSNTEX Gold Award Detailed Project Plan. Please submit your GSNETX Gold Award Final Report and Detailed Project Plan to your Gold Award liaison for approval. Once it has been approved and signed by your liaison, please send it either electronically, (preferred method) to [email protected], fax it to 972 349-2498 or carry or mail it to GSNETX at the JoAnn Fogg Service Center, Attn: Gold Award, 6001 Summerside Drive, Dallas, TX 75252. Keep a copy of the forms you submit for your personal files. Please also submit a digital photo headshot to [email protected]for use in our council ceremony book and for marketing purposes. Contact Information First Name Last Name Parent Email: [email protected][email protected]Street Address Street Address Line 2 City State ZIP Parent Phone: Birth Date: Date/Month/Year Graduation Year: School: Troop Number: Service Unit Number: Troop Volunteer’s Name: If you are not in a troop, please provide another adult supporter’s name First Name Last Name Volunteer’s Email: [email protected]Phone Number: xxx-xxx-xxxx Project Advisor’s Name: First Name Last Name Title/Organization: Email: [email protected]Phone Number: xxx-xxx-xxxx Girl Name: Girl Email: Address: xxx-xxx-xxxx xxx-xxx-xxxx Girl Phone: Cell Phone?:
Transcript
Gold Award Project Propos
GSNETX Gold Award Final Report Page 1 of 7
www.gsnetx.org/goldaward Revised January 2013
After you have completed your Girl Scout Gold Award project, use this form to share the details of your project and information about what you learned with the Girl Scout Gold Award Committee. Information about the Girl Scout Gold Award process can be found in the Girls’ Guide to Girl Scouting for Seniors or Ambassadors beginning on page 2. This form should be accompanied by the GSNTEX Gold Award Detailed Project Plan.
Please submit your GSNETX Gold Award Final Report and Detailed Project Plan to your Gold Award liaison for approval. Once it has been approved and signed by your liaison, please send it either electronically, (preferred method) to [email protected], fax it to 972 349-2498 or carry or mail it to GSNETX at the JoAnn Fogg Service Center, Attn: Gold Award, 6001 Summerside Drive, Dallas, TX 75252. Keep a copy of the forms you submit for your personal files. Please also submit a digital photo headshot to [email protected] for use in our council ceremony book and for marketing purposes.
List the names of individuals and organizations that worked with you on your Take Action Project.
Team Members Affiliation Role
1.
2.
3.
4.
5.
6.
Take Action Project
Please tell us about your project.
Project Title:
Start Date:
Completion Date:
Total Hours Spent on Project:
A. Describe the issue your project addressed, what impact you had hoped to make and who benefitted.
In this section, you should give an overview of your project, including: the issue that you hoped to address, why it is important, and who (and how many) your project helped.
B. What was the root cause of the issue? How did you address it?
C. How will your project be sustained beyond your involvement?
D. Explain the national and/or global link to your project.
E. Describe any obstacles you encountered and what you did to overcome them.
F. Describe what steps you took to inspire others through sharing your project (e.g. website, blog, presentations, posters, videos, articles, etc.)
G. Describe what you learned from this project including leadership skills you developed. What did you learn about yourself as a result of this project?
Using the chart provided below, describe the impact your project has had on you as a leader. First, reflect on each of the 15 Girl Scout Leadership Outcomes below. Then, check the box associated with each statement you think is true for you as it relates to your growth on the Girl Scout Gold Award project you just completed. Lastly, for each statement you select, please list one or two examples that illustrates how you grew as a leader and/or how you demonstrated that particular leadership skill.
Girl Scout Leadership Outcome Examples
Disc
over
□ I developed a stronger sense of self.
□ I developed positive values.
□ I gained practical life skills.
□ I sought challenges in the world.
□ I developed critical thinking.
Conn
ect
□ I developed healthy relationships.
□ I promoted cooperation and teambuilding.
□ I resolved conflicts.
□ I advanced diversity in a multicultural world.
□ I felt more connected to my community, locally and globally.
Take
Act
ion
□ I identified community issues
□ I was a resourceful problem solver.
□ I advocated for myself and others.
□ I educated and inspired others to act.
□ I felt empowered to make a difference in the world.
When you decide to earn the Girl Scout Gold Award, you are on your honor to uphold the Standards of Excellence outlined in the Girls’ Guide to Girl Scouting. These standards set a high benchmark for everything you do and invite you to think deeply, explore opportunities, and challenge yourself. Following the Standards of Excellence challenges you to develop yourself as a leader, achieve the Girl Scout Leadership outcomes, and make a mark on your community that creates a lasting impact on the lives of others.
In submitting this form, you profess that you have abided by the Standards of Excellence while completing your Girl Scout Gold Award project.
Parent Name:
After graduation from high school, I plan on
My favorite memory from Girl Scouts is
I have been a Girl Scout for _____ number of years.
I am interested in helping to plan the GSGA ceremony for next year’s GSGA recipients Y N
