Gold Award Final Report (Online Submission)

GSKH Gold Award Final Report

Complete this form at the conclusion of your Girl Scout Gold Award project.

Contact Information
GSUSA ID#*
Last Name*
First Name*
Email Address*
Phone Number*
Address*
Street AddressCityZIP / Postal Code
Age*
Grade*
School*
High School Graduation Year*
Troop/Group Number or Individual Girl Member (IGM)*
Troop/Group Volunteer's Contact Info:*
Please include name, phone number, and e-mail.
Girl Scout Gold Award Project Advisor's Contact Info:*
Please include name, phone number, and e-mail.
Girl Scout Gold Award Project Mentor's Contact Info:*
Please include name, phone number, and e-mail.
Your Team
List the names of the individuals and organizations that worked with you on your Take Action Project.*
Please list your team members name - Affiliation - Role
Take Action Project
Project Title*
Start Date (month/date/year)*
Completion Date (month/date/year)*
Total Hours*
Electronic copy of your final hour log*
You need to send a signed copy into the GSKH office.
Describe the issue your project addressed.*
What impact did your project make? Who benefited? What type of program/service did you provide?
What did you learn about yourself as a result of this project? What leadership skills did you develop?*
What aspects of your project would you do differently?*
What was the most successful part of your project?*
How is your project being sustained beyond your involvement?*
Explain the national and/or global link to your project.*
Describe any obstacles you encountered during your project and what you did to overcome them.*
Describe how you told and inspired others about your project, the project's impact, and what you learned.*
Website, blog, presentations, posters, videos, articles, etc.
How do you think your leadership skills will grow in the future because of this project?*
Gold Award Ceremony
How will you celebrate your Girl Scout Gold Award?*
- At a troop/group event
- At a Service Unit or Regional event
- At the annual GSKH Young Women of Distinction Ceremony (contact GSKH office for the date)
Please list the anticipated date of your Gold Award Ceremony*
If unknown, type "Unknown"
Please list your anticipated Gold Award Ceremony location*
If unknown, type "Unknown"
Electronic Signature
Type your name here (this will act as your electronic signature)*
Please enter the date you have completed this form on*

Girl Scouts of Kansas Heartland

Gold Award Final Report (Online Submission)

GSKH Gold Award Final Report

Contact Information

Your Team

Take Action Project

Gold Award Ceremony

Electronic Signature

Teens

Traditions & Trailblazing

Pathways