NOTE: BEFORE COMPLETING THIS FORM, CHECK WITH YOUR COUNCIL TO DETERMINE IF THEY
REQUIRE GOLD AWARD TRAINING AND/OR ONLY ACCEPT APPLICATIONS ONLINE, IN WHICH CASE GO TO
HTTPS://WWW.GIRLSCOUTS.ORG/GOGOLDONLINE.
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: Grade: 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:
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Prerequisites: Two Senior or Ambassador Journeys, or one Journey and the Girl Scout Silver Award.
List two Journeys you have completed and obtain your troop/group volunteer’s signature.
Senior/Ambassador Journey Books Date Completed Troop/Group Volunteer’s Signature
1.
2.
Girl Scout Silver Award Completion Date
Council Where You Earned the Award
List the names of individuals and organizations you plan to work with on your Take Action project.
This is a preliminary list that may grow over the course of your project.
Individual (if applicable) Organization Team Role
Girl Scout Gold Award | Project Proposal
Your Name:
2
Take Action Project
Project Title:
Proposed Start Date: Proposed Completion Date:
Please select which, if any, of the following four national program pillars your project most closely
addresses. If necessary, check “Other” and elaborate.
Ǔ STEM: Discover all about engineering, computer science, and outdoor STEM through programming that will
ignite your interest and increase your condence and competency in STEM.
Ǔ Outdoor: Our progressive programs let you experience the outdoors as you build your skills and participate in
adventure opportunities that, eventually, will help you become a thoughtful and caring environmental steward.
Ǔ Life Skills: Civic engagement, healthy living, communication, nancial literacy, cultural arts, global
citizenship... You’ll gain skills in these important areas and more, enhancing what you’ve learned in
school and preparing you to succeed in the world.
Ǔ Entrepreneurship: Starting with the iconic Girl Scout Cookie program, you can change the world by learning
business skills and exploring a variety of entrepreneurial opportunities, including social entrepreneurship.
Ǔ Other:
Describe the issue your project will address and your target audience. (Remember your 15-second pitch.)
Discuss your reasons for selecting this project.
Outline the strengths, talents, and skills you plan to put into action. What skills do you hope to develop
over the course of your project?
Girl Scout Gold Award | Project Proposal
Your Name:
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Briey describe the steps involved in putting your plan into action, including any resources, facilities,
equipment, and approvals needed. (Attach a detailed project plan as well.)
Besides the primary individuals/organizations noted on your chart on page 2, list any other people/
organizations you plan to engage along the way.
Estimate overall project expenses and how you plan to meet these costs.
What methods or tools will you use to evaluate the impact of your project?
How will your project be sustained beyond your involvement?
Describe how you’ll let others know about your project, its impact, and what you learned
(e.g., website, blog, presentations, posters, videos, articles).
Your Signature: Date:
Project Advisor’s Signature: Date:
Council Representative’s Signature: Date:
Girl Scout Gold Award | Project Proposal
Your Name:
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Impact Planning
Using the Impact Planning Chart, describe the impact you hope your project will have on your
community and your target audience.
Impact On... Goals Potential Impact
Community What community issue do you plan to
address?
What are some ideal outcomes of your
project on the community?
Target Audience
(e.g., workshop participants, other
youth, community members)
What skills, knowledge, or attitudes do
you want your target audience to gain?
How will you know your audience has
gained the desired skills/knowledge?
Girl Scout Gold Award | Project Proposal
Your Name:
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