Silver Award Final ReportUpdated 8/19

Please read through the entire form before beginning. Each girl completes her own form, in her own words

Download the form into your computer to complete or print out and complete in black ink. Make copies for yourself and your advisors.

Submit original to council in person or by mailing to the Paramus Service Center. Deadline: September 30 of 9th grade.

Name:

Address:

City: State: Zip Code:

Phone: Email:

Grade: Age: Troop/Group Number:

Troop/Group Advisor:

Advisor’s Email: Service Unit:

Silver Award Project Title______________________________________________

Step 1

Journey Completed: Date Completed:

Journey Advisor’s Signature:

What is the most important thing you learned from working on the Journey?

Step 2What community issue did you choose to address and why?

Step 3

Which team model did you choose? ____Solo Model ____Small Team Model of 4 girls or less

If you chose the Small Team Model, list your fellow team members below. Do not divide spaces. The Silver Award Take Action Project guidelines allow for a maximum of four girls per project.

Name Troop #

Step 4How did you explore your community to better understand the problem?What community members did you interview?

Step 5

What project did you choose and why does it matter?

Step 6

What steps did you take to reach your project goals?

How did you get other people from your community involved?

What plans did you put in place to make your good work last?

How did you make a Global Connection? What did you learn from others who worked to solve the same problem?

Project Advisor:

Advisor Phone: Advisor Email:

Why did you choose this Project Advisor? How did they help you reach your project goals?

Step 7How did you personally step up and contribute to the project? (group projects only)

Step 8What did you discover about yourself as you worked through your Silver Award?

What skills did you develop (such as public speaking, team building, advocacy, blogging, and so on) that helped you as a person and a leader?

What was the most successful or rewarding part of your project?

What does leadership mean to you and how did you improve your leadership skills through this project?

What advice would you share with others who are planning a Take Action Project?

How did you share your story outside of your troop, friends and family?

Which of the five Girl Scout leadership outcomes do you think you were able to develop through this project?

STRONG SENSE OF SELF I have confidence in myself and my abilities, and I have formed a positive self-identity.

POSITIVE VALUES I act ethically, honestly, and responsibly, and show concern for others.

CHALLENGE SEEKINGI take appropriate risks, try things even if I might fail, and learn from mistakes.

HEALTHY RELATIONSHIPS I develop and maintain healthy relationships by communicating my feelings directly and resolving conflicts constructively.

COMMUNITY PROBLEM SOLVING I desire to contribute to the world in purposeful and meaningful ways, learn how to identify problems in the community, and create “action plans” to solve them.

Girl Scout Silver Award Project Time Log(only list time spent after Journey completion)

Applicant:

Reminder: This is not a troop award. Do not list troop meetings. If you completed work at troop meeting, list the tasks, not the meeting. Add lines as needed.

List only the time that you have personally spent on your own project.

Datemm/dd/yy Activity or Action Time Logged Running Total of

Time

Final Total:

Use the following checklist to be sure your report is completed properly. Failure to fill out the form properly will delay the process.

Have you…

Utilized your Silver Award Guideline packet to be sure that you followed each step? Do your answers make sense and match the section of the packet?

Completed a legible and neat form in black ink, worthy of the highest award in Cadette Girl Scouting, free from cross-outs?

(We prefer that it is typed) Proofread your form? Completed all sections? Secured all signatures? Included the correct service unit name? Provided a current e-mail address?

Your Signature: Date:

Project Advisor’s Signature: Date:

When completed, send your original form with signatures to:Girl Scouts of Northern New Jersey

Paramus Service Center300 Forest Avenue

Paramus, NJ 07652Or

Drop off at any council service center(Retain copies for yourself and your advisors.)

Allow 6 weeks for approval.

**You must be a registered member of the Girl Scouts of Northern New Jersey as you move through the approval process.