EmailMe Form - 2019 Girl Scout Silver Award Report Form

2019 Girl Scout Silver Award Report Form

Girl Scout Cadettes who have earned the Girl Scout Silver Award during the 2018-2019 Girl Scout membership year (September 30, 2018 - October 1, 2019) please submit one form per project upon completion.

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

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 your contact information. If this was a partner/group project, be sure to list additional names of girls below.
Girl Scout Cadette Name: *
First Last
City (or Cities) of Girl(s): *
Current Email *

Confirm Email Address
Please provide basic information about your Silver Award Take Action project.
Silver Award Take Action Project Title: *
Silver Award Take Action Project Category & Sub-Topic: *
Agency/Organization you partnered with:
Number of people impacted by your project:
Did you complete this project as an individual? *
Yes
No
Did you complete this project with a partner or a group? *
Yes
No
Number of years you (or total years you and your partner or group) have been a Girl Scout: *
Grade when I (or I and members of my troop/group) completed my (or our) Girl Scout Silver Award: *
Grade 6
Grade 7
Grade 8
After completing 8th grade in summer before 9th grade
School (or schools) I (or I and members of my troop/group) attend:
Month & Year I (or we) completed my (or our) Girl Scout Silver Award: *
October 2018
November 2018
December 2018
January 2019
February 2019
March 2019
April 2019
May 2019
June 2019
July 2019
August 2019
September 2019
If this was a group project, list the first and last name of EACH Girl Scout Cadette 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

Enter names in alphabetical order by last name
Create a 10-20 word summary that briefly describes what you did for your Silver Award Take Action Project. How would you summarize what you did and the impact? (See sample Silver 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., Developed an education program...)
Project Summary: *
Sample Silver Award Project Summaries:

Developed an education program with Human Options to teach middle school kids about the signs of unhealthy relationships and how to have healthy relationships.

Created 150 H.E.A.R.T. Packs with essential hygiene products and food to be distributed by officers from the Fullerton Police Department.
Silver Award Take Action Project Photo(s)
Please upload one or more pictures of you doing your Silver 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 Silver 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 Silver Award recognition? *
Yes
No
Note: If you do not give permission, you will not be included in the published list of Silver 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!

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

Please provide your Girl Scout information.

Please provide your contact information. If this was a partner/group project, be sure to list additional names of girls below.

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

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

Create a 10-20 word summary that briefly describes what you did for your Silver Award Take Action Project. How would you summarize what you did and the impact? (See sample Silver Award Project Summary below.)

Silver Award Take Action Project Photo(s)

Please upload one or more pictures of you doing your Silver 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 Silver 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!