Prior to starting your project, submit this ... - Girl Scouts · girl scout gold award | project...

Girl Scout Gold Award | Project Proposal

Your Name:

1

Gold Award Girl Scout ®

NOTE: BEFORE COMPLETING THIS FORM, CHECK WITH YOUR COUNCIL TO DETERMINE IF THEY RE-QUIRE GOLD AWARD TRAINING AND/OR ONLY ACCEPT APPLICATIONS ONLINE. IF YOUR APPLICATION MUST BE SUBMITTED ONLINE, PLEASE GO TO: HTTPS://GOGOLD.GIRLSCOUTS.ORG.

Prior to starting your project, submit this proposal to:

Council Name:

Street Address:

City: State: Zip Code:

Email: Phone:

NOTE: BE SURE TO SUBMIT YOUR PROPOSAL BY THE DATE ESTABLISHED BY YOUR COUNCIL.

Your Name:

Street Address:

City: State: Zip Code:

Email: Phone:

Age: Grad Year: School:

Troop/Group Number: Troop/Group Volunteer:

Troop/Group Volunteer’s Phone: Email:

Girl Scout Gold Award Project Advisor:

Project Advisor’s Organization:

Project Advisor’s Phone: Email:

https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fgogold.girlscouts.org&data=02%7C01%7Cmarcommrequests%40girlscouts.org%7C59ab282038014fe0d88108d71437a33c%7Cd1c1cd27efe24fe8a12914d0a91c2139%7C0%7C0%7C637000101511580810&sdata=O%2B8e7wuL7mBCCVL5wqp9a%2Fo62eXN8t4YgS9oukTAAfQ%3D&reserved=0


Your Name:

2


Prerequisites: You must have either completed A) the Girl Scout Silver Award and one Senior or Am-bassador Journey, or B) two Journeys. Please list the prerequisites you completed below and obtain your troop/group volunteer’s signature.

Senior/Ambassador Journey Date Completed Troop/Group Volunteer’s Signature

1.

2.

Girl Scout Silver Award Completion Date

Council Where You Earned the Award

Your Team: List the names of individuals and organizations you plan to work with on your Gold Award project. This is a preliminary list that may grow over the course of your project.

Individual (if applicable) Organization How my team will help


Your Name:

3


Proposed Project Description

Gold Award Title:

Proposed Start Date: Proposed Completion Date:

The theme(s) my Gold Award will address is/are:

Ǔ Animals Ǔ Arts, Culture, Heritage Ǔ Children’s Issues Ǔ Civic Engagement Ǔ Disability Issues Ǔ Disaster Relief Ǔ Education

Ǔ Elderly Issues Ǔ Entrepreneurship Ǔ Environment & Sustainability Ǔ Health Ǔ Healthy Relationships Ǔ Human Rights Ǔ Lifeskills

Ǔ Military/Veterans Affairs Ǔ Outdoors Ǔ Poverty Ǔ Public Safety Ǔ Sports Ǔ STEM Ǔ Other:

My Gold Award aims to address this issue:

The reasons I selected my issue are:


Your Name:

4


Root Cause

The root cause of my issue is:

I will address the root cause by:

Target Audience

The target audience(s) for my Gold Award project is/are:

The skills, knowledge, and/or attitudes my target audience will gain are:

I will know that my audience has gained the desired skills/knowledge because:

Proposed Impact—National and/or Global Link

My Gold Award’s national and/or global link is:


Your Name:

5


Proposed Impact—Measurable Goals

Measurement of my project’s success:

What my audience will learn/gain How I will measure impact When I will measure impact

If you need more space, please use the extra page at the end of the application.

My Gold Award project goals are:

Proposed Impact—Sustainability

My Gold Award will be sustained beyond my involvement by:


Your Name:

6


Create Your Plan

I will put my plan into action by:

Date Activity Teammate(s) Needed Resources Needed Hours of Work


Estimate your project expenses and how you plan to meet those costs (e.g., donations, cookie pro-ceeds, money-earning project):

Item Source of Funding Amount



Your Name:

7


The strengths, talents, and skills I currently have and will put into action are:

ǓProject Management ǓPublic Speaking ǓBudgeting ǓCourage ǓConfidence ǓCharacter

ǓCollaboration ǓCommunity Building ǓDecision Making ǓEmpathy Ǔ Implementation ǓPresentation Skills

ǓProblem Solving ǓTime Management ǓResearch ǓOrganization ǓRisk Taking Ǔ Innovation

The skills I plan to develop as I work toward earning my Gold Award are:

Tell the World!

I will let others know about my Gold Award (the impact of my project, what the Gold Award is, and what I learned in earning it) by promoting via: Note: This is NOT about your Gold Award’s sustainability.

Ǔ Website Ǔ Blogs Ǔ Social Media

Ǔ Presentations Ǔ Posters Ǔ Videos

Ǔ Articles Ǔ Public Demonstrations Ǔ Workshops

Your Signature: Date:

Project Advisor Signature: Date of Approval:

Date of Proposal Submission:


Your Name:

8


If you need extra space, please continue your answers here:


Your Name:

9


If you need extra space, please continue your answers here:

Council Name: Street Address: City: State: Zip Code: Email: Phone: Your Name_2: Street Address_2: City_2: State_2: Zip Code_2: Email_2: Phone_2: Age: Grade: School: TroopGroup Number: TroopGroup Volunteer: TroopGroup Volunteers Phone: Email_3: Girl Scout Gold Award Project Advisor: Project Advisors Organization: Project Advisors Phone: Email_4: Date Completed2: Girl Scout Silver Award Completion Date: Council Where You Earned the Award: Gold Award Title: Proposed Start Date: Proposed Completion Date: fill_5: What my audience will learngainRow1: How I will measureRow1: When I will measureRow1: What my audience will learngainRow2: How I will measureRow2: When I will measureRow2: What my audience will learngainRow3: How I will measureRow3: When I will measureRow3: What my audience will learngainRow4: How I will measureRow4: When I will measureRow4: What my audience will learngainRow5: How I will measureRow5: When I will measureRow5: DateRow1: ActivityRow1: Teams RoleRow1: ResourcesRow1: Hours of WorkRow1: DateRow2: ActivityRow2: Teams RoleRow2: Hours of WorkRow2: DateRow3: ActivityRow3: Teams RoleRow3: Hours of WorkRow3: DateRow4: ActivityRow4: Teams RoleRow4: Hours of WorkRow4: DateRow5: ActivityRow5: Teams RoleRow5: ResourcesRow5: Hours of WorkRow5: ItemRow1: Source of FundingRow1: AmountRow1: ItemRow2: Source of FundingRow2: AmountRow2: ItemRow3: Source of FundingRow3: AmountRow3: ItemRow4: Source of FundingRow4: AmountRow4: ItemRow5: Source of FundingRow5: AmountRow5: Your Name: Journey2: Check Box2: OffCheck Box4: OffCheck Box5: OffCheck Box6: YesCheck Box7: YesCheck Box8: OffCheck Box9: YesCheck Box10: YesCheck Box11: OffCheck Box12: OffCheck Box13: OffCheck Box14: OffCheck Box15: YesCheck Box16: YesCheck Box17: OffCheck Box18: YesCheck Box3: OffText4: Text5: Text6: Text3: Text8: Text7: Text10: Text9: Text20: Check Box21: OffCheck Box22: OffCheck Box23: OffCheck Box24: OffCheck Box25: OffCheck Box27: OffCheck Box28: OffCheck Box29: OffCheck Box30: OffCheck Box20: OffCheck Box31: OffCheck Box32: OffCheck Box33: OffCheck Box34: OffCheck Box35: OffCheck Box36: OffCheck Box26: OffText21: Check Box38: OffCheck Box39: OffCheck Box40: OffCheck Box41: OffCheck Box42: OffCheck Box43: OffCheck Box44: OffCheck Box45: OffCheck Box37: OffCheck Box46: OffText22: Journey1: Date Completed1: Individual if applicableRow6: OrganizationRow6: Team RoleRow6: Team RoleRow5: OrganizationRow5: Individual if applicableRow5: Individual if applicableRow4: OrganizationRow4: Team RoleRow4: Individual if applicableRow2: OrganizationRow2: Team RoleRow2: Team RoleRow1: OrganizationRow1: Individual if applicableRow1: Individual if applicableRow3: OrganizationRow3: Team RoleRow3: Date10_af_date: Date11_af_date: Date12_af_date: Text30: Text27: Text28: Text29: Text31: Text32: Text33: Text34: Text35: Text36: Text37: Text38: Text39: Text40: Text41: Text42: Text43: Text44: Text45: Text46: Text47: Text48: Text49: Text50: Text51: Text52: Text53: Text54: Text55: Text56: Text57: Text58: Text59: Text60: Text61: Text62: Text63: Text64: Text65: Text66: Text67: Text68: Text69: Text70: Text71: Text72: Text73: Text74: Text75: Text76: Text77: Text78: Text13: ResourcesRow2: ResourcesRow3: ResourcesRow4: Check Box19: YesCheck Box48: YesCheck Box49: YesCheck Box50: Yes

Prior to starting your project, submit this ... - Girl Scouts · girl scout gold award | project...

Documents

Transcript of Prior to starting your project, submit this ... - Girl Scouts · girl scout gold award | project...