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2022 Bronze Award Girl Scout Report Form
Girl Scouts of Orange County is pleased to recognize Bronze Award Girl Scouts in the annual GSOC Highest Awards Yearbook! Upon completion of the project, submit one form per project for Girl Scout Juniors in grades 4-5 who have earned the Girl Scout Bronze Award during the 2021-2022 Girl Scout membership year (September 30, 2021 - October 1, 2022).
To submit a project for a different award year (ie. 2021, 2020 etc.), contact Customer Care at CustomerCare@girlscoutsoc.org to request a link for the correct Report Form.
Girl Scout Junior Information
Troop # (or Juliette):
*
Enter "Juliette" if you are not a member of a troop; enter unsure if you don't know/remember the troop number.
Troop Name (optional):
Service Unit (Region)
*
Please select
Aliso Viejo (South Coast)
Anaheim (Northwest)
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
Contact Information
Your Name
*
First
Last
Email
*
Bronze Award Take Action Project Information
Project completed by:
*
Please select
1 Girl Scout (Individual)
2 Girl Scouts (Partner)
3-5 Girl Scouts (Team)
6-9 Girl Scouts (Group)
10 or more Girl Scouts (Troop)
Number of girls who completed this project:
*
Individual - First and Last Name of girl who completed the project:
*
First Name
Last Name
City
Grade (4 or 5)
School
# of years as a Girl Scout
Plans to earn the Silver Award (yes or no)
Girl 1
Partner - First and Last Name of girls who completed the project: (enter the names of girls in alphabetical order by last name below)
*
First Name
Last Name
City
Grade (4 or 5)
School
# of years as a Girl Scout
Plans to earn the Silver Award (yes or no)
Girl 1
Girl 2
Team - First and Last Name of girls who completed the project: (enter the name of ALL girl(s) in alphabetical order by last name below)
*
First Name
Last Name
City
Grade (4 or 5)
School
# of years as a Girl Scout
Plans to earn the Silver Award (yes or no)
Girl 1
Girl 2
Girl 3
Girl 4
Girl 5
Group - First and Last Name of girls who completed the project: (enter the name of ALL girl(s) in alphabetical order by last name below)
*
First Name
Last Name
City
Grade (4 or 5)
School
# of years as a Girl Scout
Bronze Award Girl Scout (yes or no)
Plans to earn the Gold Award (yes or no)
Girl 1
Girl 2
Girl 3
Girl 4
Girl 5
Girl 6
Girl 7
Girl 8
Girl 9
Troop - First and Last Name of girls who completed the project: (enter the name of ALL girl(s) in alphabetical order by last name below)
*
First Name
Last Name
City
Grade (4 or 5)
School
# of years as a Girl Scout
Plans to earn the Silver Award (yes or no)
Girl 1
Girl 2
Girl 3
Girl 4
Girl 5
Girl 6
Girl 7
Girl 8
Girl 9
Girl 10
Girl 11
Girl 12
Girl 13
Girl 14
Girl 15
Girl 16
Girl 17
Girl 18
Bronze Award Take Action Project Title:
*
Bronze Award Take Action Project Category & Sub-Topic:
*
Agency/Organization partnered with:
Number of people impacted by project:
*
Month & Year project was completed:
*
Please select
October 2021
November 2021
December 2021
January 2022
February 2022
March 2022
April 2022
May 2022
June 2022
July 2022
August 2022
September 2022
Create a 10-20 word summary that briefly describes what the girl or girls did for the Bronze Award Take Action Project. Summarize what happened and the impact. (See sample Silver Award Project Summary below.)
If possible, the summary should include:
* what the girl(s) did
* who benefited from the effort
* what was the impact
Please write in third person (i.e., Developed an education program...)
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 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 Bronze Award Project Photo(s):
(action shots showing the girl(s) in the photo, doing the project are preferred)
Add File
Permission to Publish for Marketing/Recognition Purposes
GSOC is permitted to use names, information and photos submitted on this form for Bronze Award promotion and recognition including the annual Highest Awards Yearbook and social media recognition.
*
Yes
No
Note: Choosing "no" above means the girl or girls will not be included in Bronze Award promotion or recognition including the annual Highest Awards Yearbook and social media recognition.
Thank you!