Girl Scout Gold Award Project Proposal Name: Girl Scouts of West Central Florida Submit the Girl Scout Gold Award Project Proposal Form in typed format. No handwritten documents will be accepted. Submit proposal paperwork 6-8 weeks prior to expecting a Proposal interview in front of the Gold Award Committee. Committee meets once per month. Girls must submit the Proposal Form, estimated timeline and estimated budget information to: Troop Support Manager, Attn: Gold Award, 4610 Eisenhower Blvd Tampa, FL 33634 or via email goldaward@gswcf.org Girls will receive an email verifying receipt of their proposals. Do not begin project until you have received council approval. Questions? Contact Alison Wernicke awernicke@gswcf.org Date Submitted: Address: City: County: Zip: Phone: Cell: E-mail: Age: Grade: Graduation year: Individual or Troop/Group Number: School: GS Service Unit: Girl Scout Advisor(Troop Leader): Girl Scout Advisor s Phone: E-Mail: Gold Award Project Advisor(Expert in field): Gold Award Project Advisors Organization/ Experience: Gold Award Project Advisor s Phone: E-Mail: Your Girl Scout Advisor- is a trained Girl Scout volunteer that will help you with the initial stages of your Gold Award. Your Gold Award Project Advisor is the community expert you have chosen in your area of service. This person may also be someone at the agency you are helping or someone with extensive knowledge about your project topic. **Your project advisor cannot be your parent or your Girl Scout Advisor. 3/7/17
2 Prerequisites: Girls must either complete two journeys (Senior or Ambassador Level), OR earn her Girl Scout Silver Award and complete one journey (Senior or Ambassador Level). List journey(s) that you have completed along with your Girl Scout volunteer s signature. Senior/Ambassador Journey Books 1. 2. Date Completed Girl Scout Volunteer Signature* *Signatures may submitted electronically via email- email awernicke@gswcf.org with acknowledgement Girl Scout Silver Award Completion Date Council Where You Earned the Award Date of Gold Award Workshop & Council Or copy of certificate from webinar (required) Your Team List the names of individuals and organizations that you plan to work with on your Take Action project. This is a preliminary list that may grow through the course of your project. (remember you must have volunteers that are outside of Girl Scouting volunteers that are peers to help show your leadership.) More Team Members Affiliation Role
3 Take Action Project *please fill in with as much detail about your project as possible. Project Title: Proposed Start Date: Proposed Completion Date: A. Describe the ISSUE (problem in the community) and ROOT CAUSE (what is main cause of that problem) your project will address and who is your target audience. As well as what impact you hope to make. B. Discuss your reasons and PASSION for selecting this project. C. Outline the strengths, talents, and skills that you plan to put into action. What skills do you hope to develop? D. Describe the steps involved in putting your plan into action, including resources, facilities, equipment, and approvals needed. (attach additional pages if needed) (You can also fill out timeline in detail for this section)
4 E. Enter the names of people or organizations you plan to inform about your issue and root cause. ( who do you plan to advocate to?) F. What methods or tools will you use to evaluate and MEASURE the impact of your project? (pre/post surveys, pre/post pictures, likes, views etc. ) G. How will your project s ADVOCACY (Inspiration/Education) be SUSTAINED (continue on) beyond your involvement?
H. Describe how you plan to ADVOCATE (educate/insprire) others about your project s impact, and what you have learned. (Web site, blog, presentations, flyers videos etc.) 5
6 Impact Planning Using the Impact Planning Chart, describe the impact you hope your project will have on your community, your target audience, and you. Impact On... Goals Potential Impact Community What community issue do you plan to address? What examples of the project impact might you see in future? Target Audience (workshop participants, other youth, community members, and so on) What skills, knowledge, or attitudes will your target audience gain? How will you know that the target audience gained skills or knowledge?
Impact Planning, continued The following is a list of the 15 Girl Scout Leadership Outcomes.* Please mark which ones you think you will develop through this project? Discover: I will develop a stronger sense of self. I will develop positive values. I will gain practical life skills. I will seek challenges in the world. I will develop critical thinking. Connect: I will develop healthy relationships. I will promote cooperation and team building. I will resolve conflicts. I will advance diversity in a multicultural world. I will feel more connected to my community, locally and globally. Take Action: I will identify community issues. I will be a resourceful problem solver. I will advocate for myself and others, locally and globally. I will educate and inspire others to act. I will feel empowered to make a difference in the world. 7 *Want more information on the Girl Scout Leadership Outcomes? Visit www.girlscouts.org/research/publications/outcomes/transforming_leadership.asp. Your Signature*: Project Advisor s Signature*: Council Representative Approved: Date: Date: Date: *Signatures may submitted electronically via email- email awernicke@gwcsf.org with acknowledgement
8 BUDGET FORM Income should equal expenses. Please review the document Supplemental Earning for Awards prior to finding donations and raising money. None. There were no costs associated with my project. Income from Details Amount Total income: Expense Item Details Amount Total expenses:
9 TIME LINE Give an estimated timeline of goals and activities. This can be modified during your project. (you can only use up to 10 hours prior to your project being approved) Start Date: Estimated completion Date: Date Time spent Explain Activity (in detail) Gold Award Workshop Research Filling out Gold Award paperwork Total number of hours for project Suggested minimum hours: 80
10 Dear Gold Award Project Advisor, The Girl Scout Gold Award is the highest award a Girl Scout can achieve. The award consists of developing, initiating, and completing a Take Action Project. A Take Action Project offers a sustainable solution to a community issue or problem while addressing the root cause of the issue. Girls can develop sustainable Take Action Projects by educating or informing others in the community about their project and/or by partnering with local organizations or schools to ensure the project lasts after the girl s involvement ends. Upon completion of her project, the girl will have utilized all of the fifteen outcomes of the Girl Scout Leadership Experience. Girls feel connected to their community, locally and globally. Girls seek challenges in the world. Girls develop critical thinking. Girls develop a strong sense of self. Girls can identify community needs. Girls develop healthy relationships. Girls develop positive values. Girls gain practical life skills. Girls are resourceful problem solvers. Girls advocate for themselves and others, locally and globally. Girls promote cooperation and team building. Girls can resolve conflicts. Girls educate and inspire others to act. Girls feel empowered to make a difference in the world. Girls advance diversity in a multicultural world. You have been asked to be a project advisor because you have the experience and expertise that a girl completing a Take Action Project needs in order to be successful. We are asking that you please ensure that she is completing a project that 1) makes a lasting difference in the local community, region, and beyond 2) includes provisions to be sustainability, 3) identifies national and global links to the girl s selected issue and 4) inspires others. You are her advocate and mentor during this process. You provide her the guidance needed to complete a project that helps change an issue in your field and hers. If at any time before, during, or after your time as a Project Advisor you need assistance or have questions about the Gold Award process please contact me. Thank you for your dedication in assisting a young woman on a leadership journey to Take Action in her Community. If you would like to learn about more volunteer opportunities please visit our website: www.gswcf.org/volunteer Sincerely, Alison Wernicke Troop Support Manager Girl Scouts of West Central Florida awernicke@gswcf.org 813-281-1826
11 Girl Scouts of West Central Florida GS Gold Award Project Advisor Agreement I, agree to participate as the (Please print your name) Gold Award Project Advisor for: (Please print girl s name) In this role, I will: Understand the intent of girl(s) Girl Scout Gold Award Project Discuss the project with girl(s) Assist girl(s) in planning, designing, facilitating and evaluating the project. Keep in close communication with girl(s), allowing girl(s) to take the lead in bringing the project to completion. Make myself available for consultation and discussion. Advise in the area of my expertise and support the program in its entirety. Make myself available in case of questions or concerns from the council.. Signature of Project Advisor Advisor s Organization, affiliation or background Date signed