GSCCVA Silver Award

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Personal Information

Today's Date:

Name:

Address:

City:

State:

Zip:

Date of Birth:

Phone:

Your E-Mail:

Age:

Grade:

School:

Year Graduate High School:

Troop/Group Number:

# of Years in Girl Scouts:

Troop/Group Advisor:

Troop/Group Advisor's Phone:

Troop/Group Advisor's Email:

Mother/Guardian:

Father/Guardian:

Family Email:

Hometown Newspaper:

Silver Award Ceremony Intent

	I plan to receive my Silver Award at the "Walk of Fame" Council Recognition Event in the spring.
	I plan to receive my Silver Award at a Ceremony in my community on
	I plan to be recognized at the "Walk of Fame" Council Recognition Event in the spring and receive my Silver Award at a Ceremony in my community on .

Major Girl Scout Recognitions/Achievements/Service Projects:

	Bronze Award		Cadette Girl Scout Community Service Bar
	Program Aide		Religious Awards
	Community Service Bar for Contributions to Girl Scouting
	Other

Silver Award Photo

I will send a 5" x 7" photo and two 3 1/2" x 5" photos in my Girl Scout uniform by March 1. I will also submit three project photos to be used in a multimedia presentation by March 1.

Other Major Activities/Awards - School, Church, Community, Clubs

Get Ready

Girl Scout Silver Award Project Advisor:

Project Advisor's Phone:

Project Advisor's Email:

Timeline developed by you and your advisor:

Girl Scout Silver Leadership Award

Activities	Date Completed
1. Earn It
Interest Project:
Interest Project:
Interest Project:
2. Believe It
STUDIO 2B Focus Book: uniquely me! The Real Deal
3. Lead It: (15 hours) Describe:

Girl Scout Silver Career Award

	Date Completed
What's out there?
Who's out there?
Your Own Business Interest Project Award

Girl Scout Silver 4 B's Award

Activities	Date Completed
Become:
Belong: STUDIO 2B Focus Book: Looking In, Reaching Out
Believe Issue: How did you use your voice?
Build: Describe your solution.

Girl Scout Silver Award Project

Title of Project:

Start Date:

Completion Date:

Number of Hours:

(Total amount of Girl Scout Silver 4 B's Challenge and Silver Award Project)

Describe the issue your project will address, what you hope to achieve, and who will benefit.

Discuss the reasons for selecting this project.

Outline your strengths, talents, and skills that will be put into action.

Describe the steps involved for putting your plan into action, including facilities and/or
equipment needed.

Indicate methods and/or tools you will utilize to evaluate the effectiveness of your project.

List the names of consultants and resources you plan to use.

Estimate overall project expenses and how you plan to meet these costs.

Signature and Confirmation

I have completed my Silver Award with a minimum of 40 hours in planning and carrying out the project. Yes No

Please retype your name for your signature: Date:

Please retype Parent/Guardian name for signature: Date:

Email Confirmation: A copy of this report will be emailed to your project advisor for approval and to you to retain for your records. A signature is not required for electronic forms. Please enter your email address and the email address of your project advisor:

Your Email Address:

Project Advisor's Email Address:

Family Email Address: