EmailMe Form - 2023 Silver Award Girl Scout Report Form

2023 Silver Award Girl Scout Report Form

Girl Scouts of Orange County is pleased to recognize Silver Award Girl Scouts in the annual GSOC Highest Awards Yearbook! Upon completion of the project, submit one form per project for Girl Scout Cadettes in grades 6-8 who have earned the Girl Scout Silver Award during the 2022-2023 Girl Scout membership year (September 30, 2022 - October 1, 2023).

To submit a project for a different award year (ie. 2022, 2021 etc.), contact Customer Care at CustomerCare@girlscoutsoc.org to request a link for the correct Report Form.

Contact Information
Your Name *
First Last
Email *
Girl Scout Cadette Information
Troop # (or Juliette): *
Enter "Juliette" if you are not a member of a troop; enter unsure if you don't know/remember the troop number.
Troop Name (optional):
Service Unit (SU #) Region *
Silver Award Take Action Project Information
Project completed by: *
Number of Girls who completed this project: *
Individual - First and Last Name of girl who completed the project: *

First Name Last Name City Grade (6, 7, or 8) School # of years as a Girl Scout Bronze Award Girl Scout (yes or no) Plans to earn the Gold Award (yes or no)

Girl 1

Partner - First and Last Name of girls who completed the project: (enter the names of girls in alphabetical order by last name below) *

	First Name	Last Name	City	Grade (6, 7, or 8)	School	# of years as a Girl Scout	Bronze Award Girl Scout (yes or no)	Plans to earn the Gold Award (yes or no)
Girl 1
Girl 2

Team - First and Last Name of girls who completed the project: (enter the name of ALL girl(s) in alphabetical order by last name below) *

	First Name	Last Name	City	Grade (6, 7, or 8)	School	# of years as a Girl Scout	Bronze Award Girl Scout (yes or no)	Plans to earn the Gold Award (yes or no)
Girl 1
Girl 2
Girl 3
Girl 4
Girl 5

Group - First and Last Name of girls who completed the project: (enter the name of ALL girl(s) in alphabetical order by last name below) *

	First Name	Last Name	City	Grade (6, 7, or 8)	School	# of years as a Girl Scout	Bronze Award Girl Scout (yes or no)	Plans to earn the Gold Award (yes or no)
Girl 1
Girl 2
Girl 3
Girl 4
Girl 5
Girl 6
Girl 7
Girl 8
Girl 9

Troop - First and Last Name of girls who completed the project: (enter the name of ALL girl(s) in alphabetical order by last name below) *

	First Name	Last Name	City	Grade (6, 7, or 8)	School	# of years as a Girl Scout	Bronze Award Girl Scout (yes or no)	Plans to earn the Gold Award (yes or no)
Girl 1
Girl 2
Girl 3
Girl 4
Girl 5
Girl 6
Girl 7
Girl 8
Girl 9
Girl 10
Girl 11
Girl 12
Girl 13
Girl 14
Girl 15
Girl 16
Girl 17
Girl 18

Silver Award Take Action Project Title: *
Project Theme
Animals: Animal Safety
Animals: Animal Rights
Animals: Pet Care
Animals: Animal Adoption
Arts, Culture & Heritage: Art
Arts, Culture & Heritage: Languages
Arts, Culture & Heritage: Historic Preservation
Arts, Culture & Heritage: Cultural Awareness
Arts, Culture & Heritage: Performing Arts
Arts, Culture & Heritage: Visual Arts
Arts, Culture & Heritage: Music
Children's Issues: Child Abuse
Children's Issues: Foster Care
Children's Issues: Infant Care
Children's Issues: Mentoring
Civic Engagement: Politics
Civic Engagement: Community Development
Civic Engagement: Voting
Civic Engagement: Advocacy
Disaster Relief: Fire
Disaster Relief: Natural Disasters
Disaster Relief: Flooding
Disaster Relief: Earthquake
Disaster Relief: Tsunami
DEIA-RJ: Diversity
DEIA-RJ: Equity
DEIA-RJ: Inclusion
DEIA-RJ: Access
DEIA-RJ: Racial Justice
Education: Literacy
Education: Career Training
Education: Career Pathways
Elderly Issues: Elder Care
Elderly Issues: Senior Centers
Elderly Issues: Dementia
Elderly Issues: Intergenerational Relationships
Elderly Issues: Lifeskills/Technology Support
Entrepreneurship: Social Entrepreneurship
Entrepreneurship: Business Development
Environment & Sustainability: Preserving Outdoor Spaces
Environment & Sustainability: Pollution
Environment & Sustainability: Alternative Energy
Environment & Sustainability: Clean Water
Environment & Sustainability: Farming
Environment & Sustainability: Climate Change
Physical Health: Fitness
Physical Health: Nutrition
Physical Health: Hygiene
Physical Health: Diseases
Physical Health: Organ Donation
Physical Health: Global Health
Physical Health: Drug Abuse
Mental Health: Self-Esteem
Mental Health: Self-Image
Mental Health: Self-Care
Mental Health: Suicide Prevention
Mental Health: Body Image/Body Positivity
Healthy Relationships: Bullying
Healthy Relationships: Conflict Management
Healthy Relationships: Communication
Healthy Relationships: Domestic Violence
Healthy Relationships: Rape Prevention
Human Rights: Human Trafficking
Human Rights: Girls' and Women's Rights
Human Rights: Immigration
Life Skills: Civic Engagement
Life Skills: Healthy Living
Life Skills: Communication
Life Skills: Financial Literacy
Life Skills: Cultural Arts
Life Skills: Global Citizenship
Life Skills: Digital Life Skills
Life Skills: Digital Hygiene
Life Skills: Digital Leadership
Military/Veterans' Affairs: Veteran's Assistance
Military/Veterans' Affairs: Veterans' Issues
Outdoors: Adventure Opportunities
Outdoors: Environmental Stewardship
Poverty: Hunger
Poverty: Homelessness
Poverty: Affordable Housing
Poverty: Fair Trade
Public Safety: Traffic Safety
Public Safety: Policing
Public Safety: Juvenile Detention
Public Safety: Detention Centers
Sports: After School Programs
Sports: School Clubs
Sports: Athletic Programs
STEM: Science
STEM: Technology
STEM: Engineering
STEM: Math
STEM: Robotics
Agency/Organization partnered with:
Number of people impacted by project: *
Month & Year project was completed: *
Create a 10-20 word summary that briefly describes what the girl or girls did for the Silver Award Take Action Project. Summarize what happened and the impact. (See sample Silver Award Project Summary below.)
If possible, the summary should include:
* what the girl(s) did
* who benefited from the effort
* what was the impact

Please write in third person (i.e., Developed an education program...)
Project Summary: *
Sample Silver Award Project Summaries:

Developed an education program with Human Options to teach middle school kids about the signs of unhealthy relationships and how to have healthy relationships.

Created 150 H.E.A.R.T. Packs with essential hygiene products and food to be distributed by officers from the Fullerton Police Department.
Silver Award Take Action Project Photo(s)
Please upload one or more best project photo(s) that show leadership in action during the implementation of the project! (High resolution .jpg or .png file is preferred.)
Girl Scout Silver Award Project Photo(s):
(action shots showing the girl(s) in the photo, doing the project are preferred)

Add File
Permission to Publish for Marketing/Recognition Purposes
GSOC is permitted to use names, information and photos submitted on this form for Silver Award promotion and recognition including the annual Highest Awards Yearbook and social media recognition. *
Yes
No
Note: Choosing "no" above means the girl or girls will not be included in Silver Award promotion or recognition including the annual Highest Awards Yearbook and social media recognition.
Thank you!

Contact Information

Girl Scout Cadette Information

Silver Award Take Action Project Information

Create a 10-20 word summary that briefly describes what the girl or girls did for the Silver Award Take Action Project. Summarize what happened and the impact. (See sample Silver Award Project Summary below.)

Silver Award Take Action Project Photo(s)

Please upload one or more best project photo(s) that show leadership in action during the implementation of the project! (High resolution .jpg or .png file is preferred.)

Permission to Publish for Marketing/Recognition Purposes

Note: Choosing "no" above means the girl or girls will not be included in Silver Award promotion or recognition including the annual Highest Awards Yearbook and social media recognition.

Thank you!