EmailMe Form - 2021 Silver Award Girl Scout Report Form

2021 Silver Award Girl Scout Report Form

Girl Scouts of Orange County is pleased to recognize Silver Award Girl Scouts in the annual GSOC Highest Awards Yearbook! Upon completion of the project, submit one form per project for Girl Scout Cadettes in grades 6-8 who have earned the Girl Scout Silver Award during the 2020-2021 Girl Scout membership year (September 30, 2020 - October 1, 2021).

To submit a project for a different award year (ie. 2020, 2019, 2018, etc.), contact Customer Care at CustomerCare@girlscoutsoc.org to request a link for the correct Report Form.

Girl Scout Cadette 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) *
Contact Information
Your Name *
First Last
Email *
Silver Award Take Action Project Information
Project completed by: *
Number of Girls who completed this project: *
Individual - First and Last Name of girl who completed the project: *

First Name Last Name City Grade (6, 7, or 8) 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

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 (6, 7, or 8)	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

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 (6, 7, or 8)	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

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 (6, 7, or 8)	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 (6, 7, or 8)	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
Girl 10
Girl 11
Girl 12
Girl 13
Girl 14
Girl 15
Girl 16
Girl 17
Girl 18

Silver Award Take Action Project Title: *
Silver Award Take Action Project Category & Sub-Topic: *
Agency/Organization partnered with:
Number of people impacted by project: *
Month & Year project was completed: *
Create a 10-20 word summary that briefly describes what the girl or girls did for the Silver 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 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 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 Silver 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 Silver 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 Silver Award promotion or recognition including the annual Highest Awards Yearbook and social media recognition.
Thank you!

Girl Scout Cadette Information

Contact Information

Silver Award Take Action Project Information

Create a 10-20 word summary that briefly describes what the girl or girls did for the Silver Award Take Action Project. Summarize what happened and the impact. (See sample Silver Award Project Summary below.)

Silver 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.)

Permission to Publish for Marketing/Recognition Purposes

Note: Choosing "no" above means the girl or girls will not be included in Silver Award promotion or recognition including the annual Highest Awards Yearbook and social media recognition.

Thank you!