EmailMe Form - 2018 Girl Scout Bronze Award Report Form

2018 Girl Scout Bronze Award Report Form

Girl Scout Juniors who have earned the Girl Scout Bronze Award during the 2017-2018 Girl Scout membership year (September 30, 2017 - October 1, 2018) please submit one form per project upon completion.

Way to go, you earned the highest award a Girl Scout Junior may earn! Please submit this form to help us recognize you as a Bronze Award Girl Scout! The information you share will be used for marketing and promotional purposes including GSOC's Highest Awards Yearbook.

Please provide your contact information.
Girl Scout Junior Name: *
First Last
Current Email *

Confirm Email Address
Please provide your Girl Scout information.
Troop # (or GSI): *
Enter "GSI" if you are not a member of a troop; enter unsure if you don't know/remember your troop number.
Troop Name (optional):
Region & Service Unit: *
Please provide basic information about your Bronze Award Take Action project.
Bronze Award Take Action Project Title: *
Bronze Award Take Action Project Category & Sub-Topic: *
Agency/Organization you partnered with:
Did you complete this project as an individual? *
Yes
No
Did you complete this project with a partner or a group? *
Yes
No
If this was a group project, list the first and last name of EACH Girl Scout Junior to be recognized for this project.

Name(s) of additional girl(s) who completed this project with you:

Girl 2 Name
Girl 3 Name
Girl 4 Name
Girl 5 Name
Girl 6 Name
Girl 7 Name
Girl 8 Name
Girl 9 Name
Girl 10 Name
Girl 11 Name
Girl 12 Name
Girl 13 Name
Girl 14 Name
Girl 15 Name
Girl 16 Name
Girl 17 Name
Girl 19 Name
Girl 19 Name

Enter names in alphabetical order by last name

Create a 5-10 word summary that briefly describes what you did for your Bronze Award Take Action Project. How would you summarize what you did and the impact? (See sample Bronze Award Project Summary below.)
If possible, your summary should include:
* what you did
* who benefited from your effort
* what was the impact

Please write in third person (i.e., Educated classmates...)
Project Summary: *
Sample Bronze Award Project Summaries:

Educated classmates about fire safety and helping their family to develop a plan.

Planted a community garden at a local elementary school.
Bronze Award Take Action Project Photo(s)
Please upload one or more pictures of you doing your Bronze Award project: one or more of your best photo(s) that show you in action! (High resolution .jpg or .png file is preferred.)
Girl Scout Bronze Award Project Photo(s) (action shot showing you in the photo, doing your project): *

Add File
Permission to Publish for Marketing/Recognition Purposes
Do you and your parent give GSOC permission to use your first and last name for Bronze Award recognition? *
Yes
No
Note: If you do not give permission, you will not be included in the published list of Bronze Award Girl Scouts, Highest Awards Yearbook or other recognition.
Do you and your parent give GSOC permission to use your Troop#/Service Unit/Region, and/or City for marketing and recognition purposes? *
Yes
No
Note: If you do not give permission, your Troop#, Service Unit/City will not be used for recognition purposes.
Do you and your parent give GSOC permission to use project photos you submit for marketing and recognition purposes? *
Yes
No
Note: If you do not give permission, your profile will not be included for GSOC marketing and recognition purposes.
Thank you!

Please provide your contact information.

Please provide your Girl Scout information.

Please provide basic information about your Bronze Award Take Action project.

If this was a group project, list the first and last name of EACH Girl Scout Junior to be recognized for this project.

Create a 5-10 word summary that briefly describes what you did for your Bronze Award Take Action Project. How would you summarize what you did and the impact? (See sample Bronze Award Project Summary below.)

Bronze Award Take Action Project Photo(s)

Please upload one or more pictures of you doing your Bronze Award project: one or more of your best photo(s) that show you in action! (High resolution .jpg or .png file is preferred.)

Permission to Publish for Marketing/Recognition Purposes

Note: If you do not give permission, you will not be included in the published list of Bronze Award Girl Scouts, Highest Awards Yearbook or other recognition.

Note: If you do not give permission, your Troop#, Service Unit/City will not be used for recognition purposes.

Note: If you do not give permission, your profile will not be included for GSOC marketing and recognition purposes.

Thank you!