Joyce Maienschein Leadership Grant Budget Worksheet

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Joyce Maienschein Leadership Grant Program Application Information and Form Girl Scout Council of the Southern Appalachians (GSCSA) recognizes the need for girls to become strong and effective leaders. The Girl Scout Leadership Experience guides girls in developing their own leadership skills and styles. The Girl Scout program is designed to help girls grow into leadership roles by Discovering Self, Connecting with Others and Taking Action to Make the World a Better Place. These three program components are associated with the fifteen specific leadership outcomes or skill developments listed below. Discovering Self 1. Girls develop a strong sense of self. 2. Girls develop positive values. 3. Girls gain practical life skills. 4. Girls seek challenges in the world. 5. Girls develop critical thinking skills. Connecting with Others 6. Girls develop healthy relationships. 7. Girls promote cooperation and team building. 8. Girls can resolve conflicts. 9. Girls advance diversity in a multicultural world. 10. Girls feel connected to their communities, locally and globally. Taking Action to Make the World a Better Place 11. Girls can identify community needs. 12. Girls are resourceful problem solvers 13. Girls advocate for themselves and others, locally and globally. 14. Girls educate and inspire others to act. 15. Girls feel empowered to make a difference in the world. GSCSA helps girls grow into leaders who are purpose-driven and work toward positive social change. To encourage girls on their journey, we are offering monetary support to develop leadership opportunities and skills through a grant program. History Joyce Maienschein began her volunteer efforts with Oak Ridge Girl Scouts in 1957, and by 1965 she was leading Troop 69. "Ms. M's" leadership was unique and nationally recognized. She encouraged her Girl Scout Troop 69, of Oak Ridge, Tennessee, to apply and use grant funds to enable them to gain leadership skills and lead important projects. Under Ms. M s leadership, Troop 69: Organized the first ongoing recycling program in Oak Ridge Began the Hospital Aide program at the Oak Ridge Hospital, which became the Candy Striper program Created the nation s first Adult Basic Education for the Blind program Organized and directed the building of a nature trail for blind and mobility-impaired students

Created the Awareness House in Oak Ridge to combat drug abuse Raised money to provide assistance for children in Mexico, and organized Braille courses for students in Venezuela Established the Children s Museum of Oak Ridge in 1973 With guidance from Ms. M, Troop 69 was awarded an unprecedented six Reader s Digest Grants for Community Service. In addition, Troop 69 was the only American troop to ever receive the International Walter Donald Ross Award, given to the most outstanding troop in the World Association of Girl Guides and Girl Scouts. In 1978, Joyce Maienschein was awarded the Juliette Low World Friendship Medal by GSUSA in recognition of her outstanding efforts to extend opportunities for international understanding through Girl Scouting. In 1994, she founded the Girl Scout Museum at Daisy s Place and directed it until moving to Arizona in 2009. The museum remains a vital part of GSCSA. Grant Information Girl Scouts of Southern Appalachians Council is offering grants of up to $250 to individual girls or troops within the council to financially support the development of leadership skills. Girls should take the leadership role in applying for and implementing Joyce Maienschein Leadership Grants. Application packets are available online and at council service centers. Applications are accepted on an on-going basis with funding available for up to 8 grants per year. Recipients will be notified in a timely fashion as to the funding of their grants. The proposed projects or programs should reflect the Girl Scout Leadership Experience through Discovery of Self, Connection with Others or Taking Action to Make the World a Better Place and should lead to one or more of the fifteen specific leadership outcomes associated with the Girl Scout program. Applications should be typed and can be submitted electronically to Amanda Meade via email: ameade@girlscoutcsa.org. Hard copies should be sent to: Amanda Meade Girl Scout Council of the Southern Appalachians Attn: Joyce Maienschein Leadership Grant Program 1567 Downtown West Boulevard Knoxville, TN 37919 The following Cadette, Senior and Ambassador Troops or individual Girl Scouts are eligible to apply: Cadette, Senior and Ambassador troops, or individual Girl Scouts organizing Take Action programs that develop leadership skills and benefit the Girl Scout or Global Community. Cadettes working on Silver Awards. Seniors or Ambassadors working on Gold Awards.

JM Grant Application Girls should take the leadership role in applying for and implementing the Joyce Maienschein Leadership Grants. Information regarding the evaluation process and criteria for all proposals is included for applicants to reference when completing their applications. Typed applications are preferred. Name Parent/Guardian Name Troop Number/Service Unit Address City State Zip Phone Number Is this a troop/group application? Yes or No Email address Is this a solo/individual application? Yes or No Applicants should complete the following information. Incomplete applications will not be reviewed. 1. Please answer the following questions in the given space. 1. Why do you need this grant? 2. What is the need or issue you wish to impact? 3. Who will be served by this project and how many people do you hope to serve? 4. What leadership skills or outcomes do you hope to develop? 5. How will you make your program sustainable?

6. Who will work with you on this project and what will be the role of each collaborator? 7. How do you plan to evaluate whether you have reached your goals? 2. Budget Please provide the proposed budget for the project. Please use the attached budget form. We understand that you do not have a final budget but we want to see what your plans are for spending grant or other funds for your project. 3. Timeline Please provide a projected timeline for the project that includes the proposed start and end date, dates for major activities and milestones, and the proposed date for a final report. This should be on a separate piece of paper attached to this application. 4. Photo Please provide a headshot photo of yourself. A school photo or passport photo size is appropriate. 4. Final Report Recipients of Joyce Maienschein Leadership Grants are required to submit a final report describing the outcomes of the project and how grant recipients grew in leadership roles. This final report form can be found on our website. Checklist: Check for the following Fill out personal info? Answer questions? Attach budget? Attach timeline? Attach photo? Check box below: Updated June 11, 2014 Girl Scout Council of the Southern Appalachians 1-800-474-1912 www.girlscoutcsa.org

Joyce Maienschein Leadership Grant Budget Worksheet Name: Date: Title of Project: Check one of the following: Estimated budget (Submit with Joyce Maienschein Grant Proposal) Actual budget (Submit with Joyce Maienschein Grant Final Report) Budgets need to balance; this means income minus expenses must equal zero. Please account for all income, including any donations or gifts-in-kind. INCOME 1 Personal Contribution $ 2 Family Contributions $ 3 Troop/Group Contributions $ 4 Sponsor Contribution $ 5 Participants Fees $ 6 Council approved money-earning project(s) $ 7 Donation(s) $ 8 In-Kind Gift(s) $ 9 Joyce Maienschein Grant Funds $ 10 Other- $ 11 Other- $ Income Total: $ EXPENSES 1 Facility Rental $ 2 Food/Drinks $ 3 Promotional Flyers $ 4 Mailing/Postage $ 5 Equipment Rental $ 6 Program/Event Supplies $ 7 Office Supplies $ 8 Recognitions for participants $ 9 First Aid $ 10 Photo Supplies $ 11 Gifts of Appreciation $ 12 Other- $ 13 Other- $ 14 Other- $ Expenses Total: $ Balance or Difference: $ Girl Scout Council of the Southern Appalachians 1-800-474-1912 www.girlscoutcsa.org