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Gold Award Final Report Form

Gold Award Project Final Report

Please fill this out upon completation of your Girl Scout Gold Award Project.
Name on Certificates
First
Middle
Last
Address
Street Address
Apt./Ste.
City
State
Postal Code
Home Phone Number
Area Code
Phone Number
Cell Phone Number
Area Code
Phone Number
E-mail
School
Grade
Graduation Date
MM
DD
YYYY
Troop Number/ Juliette
Parent/ Guardian Names
First
Last
Title of Gold Award Project

Gold Award Project Advisor

The person advising you directly on your project.
Advisor Name
First
Last
Address
Street Address
Apt./Ste.
City
State
Postal Code
Home Phone Number
Area Code
Phone Number
Cell Phone Number
Area Code
Phone Number
E-mail
By signing this you are stating that you have met all the requirments to earn your Girl Scout Gold Award.
Canidate Signature
First
M.I.
Last
By signing this you are stating that the above candiate has completed all the requirments to earn her Girl Scout Gold Award.
Project Advisor Signature
First
M.I.
Last

Please answer the following questions about your project.

Estimated number of hours you worked on your project, including planning.
Describe the community core issue you addressed.
List the names of your team members, the organizations they represented and their roles on your project.
Identify your target audience. Provide examples of the skills, knowledge or attitudes they gained.
Specifically, how will your project be sustained beyond your direct involvement?
List examples of immediate, near future and long term impact of your project.
What did you find to be the national and/or global links to your issue?
Describe obstacles you encounterd and what you did to overcome them.
Describe what steps you took to inspire others through sharing/ "publishing" your project. (website, blog, presentations, posters, videos, articles, and so on).
What did you learn about yourself as a result of this project that suprised you?
What are you most proud of about your project?

The following is a list of the 15 Girl Scout Leadership Outcomes. Which do you think you developed through this project?

Please mark all that apply and give one or two examples for each outcome you developed.
Discover
Please give one or two examples of your growth as a leader in this outcome.
Connect
Copy of Please give one or two examples of your growth as a leader in this outcome.
Take Action
Copy of Copy of Please give one or two examples of your growth as a leader in this outcome.
Attach a budget for your project including income and expenses. Assign a value to all donations
Please attach a photo of yourself.

Your award is not complete until you have reviewed this report with your Gold Award committee liaison, published your project including presentation to the committee and submitted a head and shoulders high resolution photo of yourself.

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