Fillable Girl Scout Gold Award | Project Proposal (Girl Scouts North Carolina Coastal Pines)

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Girl Scout Gold Award | Project Proposal (Girl Scouts North Carolina Coastal Pines)

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Girl Scout Gold Award | Project Proposal
Your Name:
1
Gold Award Girl Scout
®
NOTE: BEFORE COMPLETING THIS FORM, CHECK WITH YOUR COUNCIL TO DETERMINE IF THEY RE-
QUIRE GOLD AWARD TRAINING AND/OR ONLY ACCEPT APPLICATIONS ONLINE. IF YOUR APPLICATION
MUST BE SUBMITTED ONLINE, PLEASE GO TO: HTTPS://GOGOLD.GIRLSCOUTS.ORG.
Prior to starting your project, submit this proposal to:
Council Name:
Street Address:
City: State: Zip Code:
Email: Phone:
NOTE: BE SURE TO SUBMIT YOUR PROPOSAL BY THE DATE ESTABLISHED BY YOUR COUNCIL.
Your Name:
Street Address:
City: State: Zip Code:
Email: Phone:
Age: Grad 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:
Girl Scout Gold Award | Project Proposal
Your Name:
2
Gold Award Girl Scout
®
Prerequisites: You must have either completed A) the Girl Scout Silver Award and one Senior or Am-
bassador Journey, or B) two Journeys. Please list the prerequisites you completed below and obtain
your troop/group volunteer’s signature.
Senior/Ambassador Journey Date Completed Troop/Group Volunteer’s Signature
1.
2.
Girl Scout Silver Award Completion Date
Council Where You Earned the Award
Your Team: List the names of individuals and organizations you plan to work with on your Gold Award
project. This is a preliminary list that may grow over the course of your project.
Individual (if applicable) Organization How my team will help
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signature
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signature
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Girl Scout Gold Award | Project Proposal
Your Name:
3
Gold Award Girl Scout
®
Proposed Project Description
Gold Award Title:
Proposed Start Date: Proposed Completion Date:
The theme(s) my Gold Award will address is/are:
Ǔ Animals
Ǔ Arts, Culture, Heritage
Ǔ Children’s Issues
Ǔ Civic Engagement
Ǔ Disability Issues
Ǔ Disaster Relief
Ǔ Education
Ǔ Elderly Issues
Ǔ Entrepreneurship
Ǔ Environment & Sustainability
Ǔ Health
Ǔ Healthy Relationships
Ǔ Human Rights
Ǔ Lifeskills
Ǔ Military/Veterans Affairs
Ǔ Outdoors
Ǔ Poverty
Ǔ Public Safety
Ǔ Sports
Ǔ STEM
Ǔ Other:
My Gold Award aims to address this issue:
The reasons I selected my issue are:
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
Girl Scout Gold Award | Project Proposal
Your Name:
4
Gold Award Girl Scout
®
Root Cause
The root cause of my issue is:
I will address the root cause by:
Target Audience
The target audience(s) for my Gold Award project is/are:
The skills, knowledge, and/or attitudes my target audience will gain are:
I will know that my audience has gained the desired skills/knowledge because:
Proposed Impact—National and/or Global Link
My Gold Award’s national and/or global link is:
Girl Scout Gold Award | Project Proposal
Your Name:
5
Gold Award Girl Scout
®
Proposed Impact—Measurable Goals
Measurement of my project’s success:
What my audience will learn/gain How I will measure impact When I will measure impact
If you need more space, please use the extra page at the end of the application.
My Gold Award project goals are:
Proposed Impact—Sustainability
My Gold Award will be sustained beyond my involvement by:
Girl Scout Gold Award | Project Proposal
Your Name:
6
Gold Award Girl Scout
®
Create Your Plan
I will put my plan into action by:
Date Activity Teammate(s) Needed Resources Needed Hours of Work
If you need more space, please use the extra page at the end of the application.
Estimate your project expenses and how you plan to meet those costs (e.g., donations, cookie pro-
ceeds, money-earning project):
Item Source of Funding Amount
If you need more space, please use the extra page at the end of the application.
Girl Scout Gold Award | Project Proposal
Your Name:
7
Gold Award Girl Scout
®
The strengths, talents, and skills I currently have and will put into action are:
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 skills I plan to develop as I work toward earning my Gold Award are:
Tell the World!
I will let others know about my Gold Award (the impact of my project, what the Gold Award is, and
what I learned in earning it) by promoting via:
Note: This is NOT about your Gold Award’s sustainability.
Ǔ Website
Ǔ Blogs
Ǔ Social Media
Ǔ Presentations
Ǔ Posters
Ǔ Videos
Ǔ Articles
Ǔ Public Demonstrations
Ǔ Workshops
Your Signature: Date:
Project Advisor Signature: Date of Approval:
Date of Proposal Submission:
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signature
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signature
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Girl Scout Gold Award | Project Proposal
Your Name:
8
Gold Award Girl Scout
®
If you need extra space, please continue your answers here:
Girl Scout Gold Award | Project Proposal
Your Name:
9
Gold Award Girl Scout
®
If you need extra space, please continue your answers here:
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Girl Scout Gold Award Project Proposal (Girl Scouts North Carolina Coastal Pines)

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Completed 8 March 2021

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