Girl Scout Gold Award | Final Report
Your Name:
1
Gold Award Girl Scout
®
Council Name:
Submit the original completed form to your council. Make copies for your Girl Scout Gold Award
project advisor and you to keep.
Your Information
Name:
Street Address:
City: State: Zip Code:
Email: Phone:
Age: Graduation Year: School:
Troop/Group Number: Troop/Group Volunteer:
Troop/Group Volunteer’s Phone: Email:
Girl Scout Gold Award Project Advisor:
Project Advisor’s Organization:
Project Advisor’s Phone: Email:
Your Team: List the names of individuals and organizations you worked with on your project.
Individual (if applicable) Organization Team Role
Girl Scout Gold Award | Final Report
Your Name:
2
Gold Award Project Description
Title:
Start Date: Completion Date: Hours:
The theme(s) my Gold Award addressed was/were:
ǓAnimals
ǓArts, Culture, Heritage
ǓChildrens Issues
ǓCivic Engagement
ǓDisability Issues
ǓDisaster Relief
ǓEducation
ǓElderly Issues
ǓEntreprenurship
ǓEnvironment & Sustainability
ǓHealth
ǓHealthy Relationships
ǓHuman Rights
ǓLifeskills
ǓMilitary/Veterans Affairs
ǓOutdoors
ǓPoverty
ǓPublic Safety
ǓSports
ǓSTEM
ǓOther:
My Gold Award addressed this issue:
Gold Award Time Log
Date Activity Details Hours
If you need more space, please use the extra page at the end of the application.
Total hours:
Girl Scout Gold Award | Final Report
Your Name:
3
Gold Award Girl Scout
®
Gold Award Budget Log
Project income:
Date Source of Funding Details Amount
If you need more space, please use the extra page at the end of the application.
Total income:
Project expenses:
Date Company Details Amount
If you need more space, please use the extra page at the end of the application.
Total expenses:
Girl Scout Gold Award | Final Report
Your Name:
4
Gold Award Summary
The root cause of the issue my Gold Award addressed was:
I addressed the root cause of the issue by:
My target audience was:
Measurement of my projects success:
What my audience learned/gained How I measured impact When I measured impact
If you need more space, please use the extra page at the end of the application.
My Gold Award project goals were:
Girl Scout Gold Award | Final Report
Your Name:
5
Share if/how you reached your goals. My results were:
The skills, knowledge, and/or attitudes my target audience gained were:
I know that my audience gained the desired skills/knowledge because:
My Gold Award will be sustained beyond my involvement by:
My Gold Award's national and/or global link was:
I led my team by:
Shout it from the rooftops!
I told others about my Gold Award (the impact of my project, what the Gold Award is, and what I
leanred in earning it) by promoting via:
Ǔ Website
Ǔ Blogs
Ǔ Social Media
Ǔ Presentations
Ǔ Posters
Ǔ Videos
Ǔ Articles
Ǔ Public Demonstrations
Ǔ Workshops
Girl Scout Gold Award | Final Report
Your Name:
6
Gold Award Girl Scout
®
Time to reect!
The obstacles I encountered were:
I overcame them by:
The strengths, talents, and skills I put into action were:
ǓProject Management
ǓPublic Speaking
ǓBudgeting
ǓCourage
ǓCondence
ǓCharacter
ǓCollaboration
ǓCommunity Building
ǓDecision Making
ǓEmpathy
ǓImplementation
ǓPresentation Skills
ǓProblem Solving
ǓTime Management
ǓResearch
ǓOrganization
ǓRisk Taking
ǓInnovation
The leadership skills I put into practice were:
I learned the following about myself:
The most successful part of my project was:
Girl Scout Gold Award | Final Report
Your Name:
7
Gold Award Girl Scout
®
I would change the following if I could start over:
Through earning my Gold Award, I now demonstrate the following Girl Scout leadership outcomes:
ǓStrong Sense of Self
ǓPositive Values
ǓChallenge Seeking
ǓHealthy Relationships
ǓCommunity
Problem Solving
Your Signature: Date:
Project Advisor Signature: Date of Approval:
Date of Final Report Submission:
Interested in a $15,000 college scholarship?
Just copy and paste the content from your project proposal and nal report forms into GoGold Online
and let your council know you’d like to apply for the honor of National Gold Award Girl Scout. Applications
are accepted by councils April 1–30. Visit our National Gold Award Girl Scout page for more information,
and check out additional scholarship opportunities.
click to sign
signature
click to edit
click to sign
signature
click to edit
Girl Scout Gold Award | Final Report
Your Name:
8
Gold Award Girl Scout
®
If you need extra space, please continue your answers here:
Girl Scout Gold Award | Final Report
Your Name:
9
Gold Award Girl Scout
®
If you need extra space, please continue your answers here: