EmailMe Form - 2024 Silver Award Girl Scout Report Form

2024 Silver Award Girl Scout Report Form

This form is for Girl Scout Cadettes in grades 6-8 who have COMPLETE the Girl Scout Silver Award during the 2023-2024 Girl Scout membership year (October 1, 2023 - September 30, 2024).

The information submitted will be used by Girl Scouts of Orange County (GSOC) to:
*ensure projects meet required guidelines
*recognize Silver Award Girl Scouts in the annual GSOC Highest Awards Yearbook
*provide a certificate

To submit a project for a different award year (ie. 2023, 2022 etc.), contact Customer Care at CustomerCare@girlscoutsoc.org to request a link for the correct Report Form.

Instructions

Girl Scout Cadettes submit this Silver Award Report Form - and attach a copy of their completed Girl Scout Silver Award Final Report (fillable PDF) - upon completion of the project.

An individual Girl Scout or a project team (of up to four Girl Scouts per project) should work with their Girl Scout Adults to complete and submit one form per project.

Responses should reflect girl-led project planning using the Girl Scout Silver Award Final Report and the Cadette Workbook for Earning Your Silver Award.

Tip: Create responses in a separate document to copy and paste into the Silver Award Final Report and into this GSOC Silver Award Report Form.

Contact Information
Name of person submitting this form *
First Last
Email of person submitting this form *
Section 1 - Group Response
Team Member Information
Project completed by: *
Number of Girls who completed this project: *
Note: An individual Girl Scout or a project team (of up to four Girl Scouts per project) can earn the Girl Scout Silver Award.

Individual/Project Team- First and Last Name of girl(s) who completed the project: (enter the name of ALL girl(s) in alphabetical order by last name below; enter a blank space for all blank fields) *

	First Name	Last Name	Troop	City	Grade (6, 7, or 8) if submitting after June 1, list grade entering in Fall	Email	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

Current Girl Scout Year *
Remember: Girls must be registered Girl Scouts to work on and earn the Girl Scout Silver Award.The new Girl Scout membership year begins October 1.
Each girl listed is a registered Girl Scout for the CURRENT Girl Scout membership year.
Yes
No
Not sure
Adult Resources
Troop/Group Leader's Name *
First Last
Troop/Group Leader's Name *
First Last
Troop/Group Leader's Email *
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):
Adult Girl Scout Volunteer Supervisor's Name *
First Last
Adult Girl Scout Volunteer Supervisor's Email *
Service Unit (SU #) Region *
Silver Award Project Info
Project Title: *
Start Date *
MM / DD / YYYY
Completion Date *
MM / DD / YYYY
The project theme that best matches this project is:
Animals: Animal Safety
Animals: Animal Rights
Animals: Pet Care
Animals: Animal Adoption
Arts, Culture & Heritage: Art
Arts, Culture & Heritage: Languages
Arts, Culture & Heritage: Historic Preservation
Arts, Culture & Heritage: Cultural Awareness
Arts, Culture & Heritage: Performing Arts
Arts, Culture & Heritage: Visual Arts
Arts, Culture & Heritage: Music
Children's Issues: Child Abuse
Children's Issues: Foster Care
Children's Issues: Infant Care
Children's Issues: Mentoring
Civic Engagement: Politics
Civic Engagement: Community Development
Civic Engagement: Voting
Civic Engagement: Advocacy
Disaster Relief: Fire
Disaster Relief: Natural Disasters
Disaster Relief: Flooding
Disaster Relief: Earthquake
Disaster Relief: Tsunami
DEIA-RJ: Diversity
DEIA-RJ: Equity
DEIA-RJ: Inclusion
DEIA-RJ: Access
DEIA-RJ: Racial Justice
Education: Literacy
Education: Career Training
Education: Career Pathways
Elderly Issues: Elder Care
Elderly Issues: Senior Centers
Elderly Issues: Dementia
Elderly Issues: Intergenerational Relationships
Elderly Issues: Lifeskills/Technology Support
Entrepreneurship: Social Entrepreneurship
Entrepreneurship: Business Development
Environment & Sustainability: Preserving Outdoor Spaces
Environment & Sustainability: Pollution
Environment & Sustainability: Alternative Energy
Environment & Sustainability: Clean Water
Environment & Sustainability: Farming
Environment & Sustainability: Climate Change
Physical Health: Fitness
Physical Health: Nutrition
Physical Health: Hygiene
Physical Health: Diseases
Physical Health: Organ Donation
Physical Health: Global Health
Physical Health: Drug Abuse
Mental Health: Self-Esteem
Mental Health: Self-Image
Mental Health: Self-Care
Mental Health: Suicide Prevention
Mental Health: Body Image/Body Positivity
Healthy Relationships: Bullying
Healthy Relationships: Conflict Management
Healthy Relationships: Communication
Healthy Relationships: Domestic Violence
Healthy Relationships: Rape Prevention
Human Rights: Human Trafficking
Human Rights: Girls' and Women's Rights
Human Rights: Immigration
Life Skills: Civic Engagement
Life Skills: Healthy Living
Life Skills: Communication
Life Skills: Financial Literacy
Life Skills: Cultural Arts
Life Skills: Global Citizenship
Life Skills: Digital Life Skills
Life Skills: Digital Hygiene
Life Skills: Digital Leadership
Military/Veterans' Affairs: Veteran's Assistance
Military/Veterans' Affairs: Veterans' Issues
Outdoors: Adventure Opportunities
Outdoors: Environmental Stewardship
Poverty: Hunger
Poverty: Homelessness
Poverty: Affordable Housing
Poverty: Fair Trade
Public Safety: Traffic Safety
Public Safety: Policing
Public Safety: Juvenile Detention
Public Safety: Detention Centers
Sports: After School Programs
Sports: School Clubs
Sports: Athletic Programs
STEM: Science
STEM: Technology
STEM: Engineering
STEM: Math
STEM: Robotics
1. The issue the project addressed was... *
(Please include a 3-4 sentence description. See the Cadette Workbook for Earning Your Silver Award, Step 4.)
2. It mattered because... *
(Please include a 3-4 sentence description. See the Cadette Workbook for Earning Your Silver Award, Step 4.)
3. The target audience (who the project benefited) was... *
(Please include a 1-2 sentence description. See the Cadette Workbook for Earning Your Silver Award, Step 4.)
Number of people impacted by project: *
4. Community members who I contacted or partnered with to research the issue, find the root cause, and help complete the project (See the Cadette Workbook for Earning Your Silver Award, Step 3.): *

First Name Last Name Organization How they helped

1

2

3

4

5
The main agency/organization I/we partnered with:
5. The root cause of the issue was... *
(Please include a 3-4 sentence description. See the Cadette Workbook for Earning Your Silver Award, Steps 3 and 4.)
6. My team's project idea was... *
(Please include a 3-4 sentence description of your project, including the result and how it addressed the root cause of your issue. See the Cadette Workbook for Earning Your Silver Award, Step 4.)
7. The project is sustainable because my team...
Created a permanent solution that can be used after the project is complete.
Educated and inspired others in the community or within Girl Scouts to be part of the change.
Advocated to change a rule, regulation, or law and encouraged others to join.
(Check the boxes that apply. See the Cadette Workbook for Earning Your Silver Award, Step 5.)
Here is how it was done... *
(Please include a 3-4 sentence description.)
8. Please provide a description of your team's leadership. (See the Cadette Workbook for Earning Your Silver Award, Steps 2 and 5.) *

Name Leadership Roles Responsibilities

1

2

3

4
9. Provide project budget documentation. (See the Cadette Workbook for Earning Your Silver Award Budget Worksheet form.) *

Total Dollar Amount

Total Value of Funds/Donations

Total Value of Expenses
10. Try it: Describe how the project was measurable by sharing the goal you set and if it was achieved. *
(See the Cadette Workbook for Earning Your Silver Award, Step 5.) [Optional]
11. Try it: Describe any changes to your original national and/or global link. *
(See the Cadette Workbook for Earning Your Silver Award, Step 5.) [Optional]
Section 2- Group Response
1. How did you let others know about your project and the impact that it had? *
(Please include a 3-4 sentence description of your project, including the result and how it addressed the root cause of your issue. See the Cadette Workbook for Earning Your Silver Award, Step 7.)
2. Provide any links to photos, videos, flyers, and/or evidence that documents your project to help share the big picture of what you and your team accomplished. *
(See the Cadette Workbook for Earning Your Silver Award, Step 7.)
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(s) will not be included in Silver Award promotion or recognition including the annual Highest Awards Yearbook and social media recognition.
Section 3- Individual Response
1. Check "Yes" to indicate your Final Report includes an individual Time Log for each team member. (See the Cadette Workbook for Earning Your Silver Award, Step 6 and the template pages.) *
Yes
2. Check "Yes" to indicate your Final Report includes 3-4 sentence responses to reflection questions for each team member. *
Yes
Girl Scout Silver Award Project Proposal: File Upload
Girl Scout Cadette(s) complete the fillable PDF and upload a copy as part of this GSOC Silver Award Report Form submission.
This is a copy of my completed Girl Scout Silver Award Final Report:
Upload your completed copy of the Girl Scout Silver Award Final Report. Get the fillable PDF at https://www.girlscouts.org/content/dam/gsusa/forms-and-documents/members/highest-awards/GSUSA_Girl-Scout-Silver-Award-Final-Report.pdf
Thank you!

	Total Dollar Amount
Total Value of Funds/Donations
Total Value of Expenses

	First Name	Last Name	Organization	How they helped
1
2
3
4
5

	Name	Leadership Roles	Responsibilities
1
2
3
4

Contact Information

Section 1 - Group Response

Adult Resources

Silver Award Project Info

Section 2- Group Response

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(s) will not be included in Silver Award promotion or recognition including the annual Highest Awards Yearbook and social media recognition.

Section 3- Individual Response

Girl Scout Silver Award Project Proposal: File Upload

Thank you!