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GSOC Girl Scout Take Action Award Nomination Form
NEW Nomination Deadline: February 4th @ 6:08 pm (2-4-6-8) annually
Submit this form to nominate a registered GSOC Girl Scout Cadette, Senior, and/or Ambassador troop/group or individual who has made a significant and lasting impact in her community through a Take Action project.
Nominators are notified in March.
Awardees are announced at the annual GSOC Recognition Event.
Who Nominates
Girl/Troop may be nominated by a Troop Leader or Advisor, Service Unit Manager, or other Girl Scout Adult, or by a sister Girl Scout Senior or Ambassador. Nominations submitted by a parent for their own daughter are discouraged. When possible, nominations should be made by an individual not related to the nominee.
The Nominator describes why the troop/group or girl should be considered for the GSOC Girl Scout Take Action Award and describes how the project demonstrates lasting impact to the community outside of Girl Scouting.
Note: The project can be provided in the troop, group, or individual's own community or in any other location where a need is met and the effort make the world a better place through sustainable change and may be completed as part of a journey, Girl Scout Silver Award, or Girl Scout Gold Award Take Action project, however, this is not required.
Nominee:
*
First and Last Name OR Troop # if a Troop Nomination
Nominee's Service Unit (Region)
Please select
Aliso Viejo (South Coast)
Anaheim Hills (Central)
Brea (Northwest)
Comadres (Comadres)
Comadres (Comadres North)
Fullerton/La Habra (North Central)
Garden Valley (North Central)
HB Pierside (Central Coast)
Heart of Irvine (Mid South)
Huntington Harbor (Central Coast)
La Cypress Park (Northwest)
Ladera Valley (South County)
Laguna Beach (South Coast)
Lake Forest (Mid South)
Los Alamitos/Rossmoor (Northwest)
Mission Viejo (South County)
Newport Harbor (Central)
Newport Mesa (Central)
Niguel Coast (South Coast)
North Irvine (Mid South)
Ocean View (Central Coast)
Orange Villa (Northeast)
Oso Valley (South County)
Placentia (Northeast)
Rancho Portola (South County)
Rancho Trabuco (South County)
San Clemente (South Coast)
Santiago Creek (Northeast)
Seal Beach (North Central)
South Irvine (Mid South)
Surf City (Central Coast)
Tustana (Central)
Tustin East (Central)
West Garden (North Central)
Yorba Linda East (Northeast)
Yorba Linda West (Northeast)
I don't know
Troop Number:
*
Troop Name (optional):
Girl Scout Level
Girl Scout Junior
Girl Scout Cadette
Girl Scout Senior
Girl Scout Ambassador
Nominated by:
*
First
Last
Nominator's email address:
*
(please enter email again to confirm)
Length of time Nominator has known the Nominee:
Relationship to Nominee:
About the Take Action Project
Name of Take Action Project:
First and Last Name OR Troop # if a Troop Nomination
Recipient of Project:
First and Last Name OR Troop # if a Troop Nomination
Location of Project:
First and Last Name OR Troop # if a Troop Nomination
Describe the purpose of the Take Action Project.
*
Describe the Take Action Project. Be sure to give details.
*
Duration of the Take Action Project
one-time
ongoing
annual
The Take Action Award recognizes efforts that provide sustainable, lasting change.
Was the Take Action Project completed as part of a Girl Scout Highest Award of Journey Award?
Bronze Award
Silver Award
Gold Award
Journey Award
The Take Action Project may be part of a Girl Scout Highest Award or Journey Award, but this is not required.
How was the Take Action Project funded?
*
What was the estimated cost of the Take Action Project?
*
Describe the impact of the project: what were the results of the Take Action Project?
*
What did the nominee gain as a result of the Take Action Project?
*
Is there anything else you would like to add?
If yes, please upload additional pages or reference letter as needed and include the nominee's name/Troop #/Group Name in the file name.
Project Photos
Please upload one or more best project photo(s) that show leadership in action during the implementation of the project! (High resolution .jpg or .png file is preferred.)
Girl Scout Take Action Project Photo(s):
(action shots showing the girl(s) in the photo, doing the project are preferred)
*
Add File