Golden Trefoil Application - Troop
form #134a • 09/20 • page 1 of 3
The Golden Trefoil program denotes troop excellence throughout an entire member-
ship year. Use this form to help the girls in your troop track their progress. Please
have the girls in your troop complete the form and follow the instructions on the
third page to receive the Golden Trefoil patch for your troop. Find the Golden Trefoil
Application for Juliettes here.
Name
______________________________________________ Troop # ________________ Service Unit ____________
If your troop plans to earn this patch, we recommend you begin at the start of the Girl Scout year in October. Each year
a troop completes the requirements, they will be eligible to apply for an annual, color coded segment to accompany the
Golden Trefoil patch. Troops will be awarded Golden Trefoil patches at no cost to the troop if all criteria are met.
Note: Percentage of attendance is based on the number of girls registered with the troop at the time of the activity.
All of the following activities must be completed:
All members in your troop must have a current Girl Scout membership
At least 80% of the troop participated in Spring membership renewal
Troop financial report was completed and submitted by 6/30
The Girl Scout program supports the three leadership keys incorporating girl planning, keeping in mind the
Safety Activity Checkpoints and Council Volunteer Policies and Procedures. Please have a discussion with your
troop about the top three skills they learned, tried, or gained in the past year. Then, have the girls in your troop
give examples of how as a troop they incorporated the following:
DISCOVER: ____________________________________________________________________________
CONNECT:_____________________________________________________________________________
TAKE ACTION: __________________________________________________________________________
Volunteer Participation - 3 out of the 5 activities must be completed:
Created a year plan for troop in VTK
Attended a volunteer training in person
Completed online volunteer training
80% of service unit volunteer meetings were attended by a troop representative and communication was
maintained
Held at least 1 Parent/Guardian meeting
6 of the 11 activities listed below must be completed with 75% attendance:
Participated in a membership recruitment event or Girl Scout visibility event (ie. Bring a Friend event, tabling 1.
event, wear your uniform day, etc.)
Date _______________ What we did ____________________________________________________
Percentage of Girl Participation _____________ Percentage of Volunteer Participation ______________
Attended at least one council-sponsored activity or 2. Program Guide event
Date _______________ What we did ____________________________________________________
Percentage of Girl Participation _____________ Percentage of Volunteer Participation ______________