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Gold Award Project Proposal Form

Gold Award Proposal

Complete this form 6-8 weeks before you plan to implement your project (step 6 in the Girl Guidelines). Write none or same in fields where information is redundant.

Name

First

Last

Home Address

Street Address

Apt./Ste.

City

State

Postal Code

Mailing Address

Street Address

Apt./Ste.

City

State

Postal Code

Home Phone Number

Area Code

Phone Number

Cell Phone

Area Code

Phone Number

E-mail

School

Grade

Birthday

YYYY

Graduation Year

Region

Service Unit

Troop/Juliette

Title of Gold Award Project

Gold Award Community Advisor

Primary person outside of the Girl Scout advising you directly on your project.

Name

First

Last

Copy of Address

Street Address

Apt./Ste.

City

State

Postal Code

Phone Number

Area Code

Phone Number

E-mail

Troop Leader/Advisor

Name

First

Last

Address

Street Address

Apt./Ste.

City

State

Postal Code

Phone Number

Area Code

Phone Number

E-mail

Parents/Gaurdians

Name

First

Last

Address

Street Address

Apt./Ste.

City

State

Postal Code

Phone Number

Area Code

Phone Number

E-mail

Other

Service Unit Manager

Closet GSCO Service Center

Membership Manager

By signing here, you declare your intention of completing the Girl Scout Gold Award.

Your Signatures

First

Last

By signing here, you affirm that the project plans have been discussed with you and agree to mentor the award candidate through the process.

Community Advisor

First

Last

Troop Leader Signature

First

Last

Journey Completion

Two Senior or Ambassdor Journeys or One Journey and have earned The Girl Scout Silver Award. List Two the two Journeys that you completed.

Senior/ Ambassdor Journey Book

Date Completed

YYYY

Senior/ Ambassdor Journey Book

Date Completed

YYYY

Troop Advisor Signature

First

Last

Girl Scout Silver Award Completion Year

Troop Number and Council where Silver Award was earned

Team Members

List the specfic names of indivduals and organizations that you have made planes to work with on you Girl Scout Gold Award project. This is a preliminary list that may change throughout the course of your project.

Team Member One

First

Last

Affliation

Phone Number

Area Code

Phone Number

Team Member's Role in your project

Team Member Two

First

Last

Affliation

Phone Number

Area Code

Phone Number

Team Member's Role in your project

Team Member Three

First

Last

Affliation

Phone Number

Area Code

Phone Number

Team Member's Role in your project

Team Member Four

First

Last

Affliation

Phone Number

Area Code

Phone Number

Team Member's Role in your project

Team Member Five

First

Last

Affliation

Phone Number

Area Code

Phone Number

Team Member's Role in your project

Gold Award Proposal Questions

Please answer all the questions below in the box provided.

Describe your project in detail. Discuss all major elements.
*Explain what you will actually do for your project.
*How will this work be accomplished?
*Has the organization(s) you are working with approved your project?
*Show key elementsof leadership, coordination, and delegation in your description.

Describe the issue your project will address?

What is the community need you have identified? Why is this particular project of intrest to you? What makes this project personally meaningful?

Discuss your reasons for selecting this project.

What strengths and telents will you put into action? What specfic skills do you plan on working on during your project? How will this project contribute to your personal growth?

Outline the strength, talents, and skills that will help you with your project? What skills do you hope to develop? How will the project challenge you?

Resources you will need and how you will get them.If depending on donations-what is your back up plan. Transportation, permission slips and insurance. Review Safety Activity Checkpoint.

Identify the steps involved in putting your plan into action; including resources, facilities, equipment, and approval needed.

Idenitfy those who will benefit from your prjects, potential community partners, and who you should inform as a courtsey.

Please list additional people, groups, organizations not itemized above.

Discuss the money part of your project as well as your back up plan to cover all costs.

Estimate overall project expenses and your plan for meeting those costs.

Make your goals SMART- Specfic, Measurable, Achievable, Realistic, Time senstive

Set goals and determinemethods/tools you will use to evaluate the impact of your project.

What provisions will you to ensure the project continues to make an impact.

How will your project be sustained beyond your involvment.

What are other communitesin other parts of the Country and the World doing about the similar issue.

Discuss your plans for establishing a Global Connection.

(websites, blogs, presentations, posters, videos, articles, etc.)

Describe how you plan to tell others about your project, your project's impact, and what you have learned. You must publish your results beyond the Girl Scout Community.