GIRL SCOUT SILVER AWARD PROPOSAL Each Silver Award Candidate, regardless of whether or not she is planning on doing the project as part of a team of girls or on her own, must submit this form BEFORE beginning her project. Please download this form as a writable PDF from girlscoutsofmaine.org and type in your responses. Make a copy for your Girl Scout Silver Award Project Advisor, one for yourself to keep, and one to submit by email to your Teen Program Specialist, Elizabeth Helton ehelton@gsmaine. Girl Scout Silver Award Project Proposal forms (including the application and membership forms for your Project Advisor) are due at least 3-4 weeks prior to the anticipated start of your project. If you are in 8th grade, your project proposal must be submitted by June 1st. Please wait for approval from GSME before beginning your project. GIRL S INFORMATION Name: Address: Phone: Girl email (if applicable): Age: Grade: School: Service Unit: Parent Email: Zip: TROOP INFORMATION (if applicable) Troop Number: Troop Leader s Email: Troop Leader s Name: Troop Leader s Phone Number: PROJECT ADVISOR S INFORMATION Your Project Advisor is someone from the community who can help you with your project topic. This individual is not your troop leader or a family member. They must become a registered GS member for each membership year you are working on your project and complete the volunteer process prior to your project being approved. If you are working in a small group to complete the project, the group only needs one Project Advisor. All forms can be found on the GSME website: girlscoutsofmaine.org. Girl Scout Silver Award Project Advisor s name: Project Advisor s Address: Project Advisor s Email: Project Advisor s Phone Number: Project Advisor s Connection to the Project (can be place of work or volunteerism, member of a specified organization, etc.): 1
SILVER AWARD PREREQUISITES Journey: q Title of Journey completed: q Date completed: q Please provide a brief description of your Journey Take Action project and the skills that you learned from it. Silver Award Training: q Date completed q What aspect(s) of the training do you think will be the most useful when earning your Silver Award? GIRL SCOUT SILVER AWARD PROJECT Project Title: Anticipated Start Date: Anticipated Completion Date: Project Category: (check the box to the left of the one category that most related to your project) q Emergency and Disaster Preparedness q Independent Living/Senior Citizen Needs q STEM q Economic Development q Environmental/ Environmental Education q Public Safety q Youth Development q Education q Health/Nutrition q Social Justice q Other (please specify) The Silver Award may be earned by an individual Cadette or as part of a small group (2-4 girls total) working towards earning their Silver Awards. q I will earn my Silver Award as an individual. q I will earn my Silver Award as part of a small team of Cadettes. Please list the names of the other Cadettes on your team. 1. 2. 3. The Silver Award requires you to work with a team of at least 3 members of the community to complete your project. Please list the community members/groups you intend to lead in your project. Use additional space if needed. Individual or organization s name How many volunteers? What tasks will they help you with? 2
SILVER AWARD QUESTIONS Please answer the following questions in as much detail as possible. 1. Describe your Silver Award Take Action Project. 2. What is the community issue your project addresses? 3. All Silver Award projects must target the root cause of a community issue. What is the root cause of this issue? How does your project address the root cause? 4. All Silver Award projects must include a plan for sustainability beyond your involvement. How do you plan to ensure your project is sustainable and makes a lasting impact in the community? 5. All Silver Award projects should have at least one SMART goal. What is your goal and how will you measure your progress towards the goal? 6. How will you show leadership in your project? If you are working as part of a group or team, each of you must have different leadership responsibilities. 7. How will you let others know about your project and the community issue it addresses? 8. How have other groups or organizations around the country addressed your community issue? How will you extend the reach of your project into other communities? 3
PROPOSED PROJECT TIMELINE Silver Award Take Action projects require many steps to complete. Please list ALL of the steps necessary to complete your project, start to finish. Date Step/Task Who will do it You should follow the planning notes as closely as possible while working on your project. These notes are the basis for the approval of your Girl Scout Silver Award project. We know that changes sometimes need to be made. If you experience any major challenges during the duration of your project, please contact your Project Advisor and GSME immediately. Remember, we can t help you if we don t know there is a problem. 4
SILVER AWARD PROPOSED BUDGET Silver Award Take Action projects often require money or in-kind donations of goods to complete. Use this form to report your proposed expenses and income. Please refer to the guidelines for gifts-in-kind and money earning. The total amount of your expenses and income should equal out to the same number. ESTIMATED EXPENSES Please list all anticipated costs for your project including membership fees, materials for implementing and promoting your project, etc. EXPENSES ANTICIPATED INCOME Please list all the ways you plan to earn money for your project. Please include any donations of in-kind items you plan on receiving TOTAL INCOME 5
SIGNATURES Silver Award Candidate By signing this document or typing my full name below, I verify that all the information in this document is true and accurate to the best of my knowledge. I have reviewed the Silver Award requirements and the Silver Award Proposal Rubric and feel my personal work meets these guidelines. Your signature: Date: Project Advisor By signing this document or typing my full name below, I verify that all the information in this document is true and accurate to the best of my knowledge. I have reviewed the Silver Award requirements and the Silver Award Proposal Rubric and feel that the project meets these guidelines. Project Advisor s Signature: Date: 6