Community Service Bar Final Summary

This form is for Girl Scouts in the GSNYPENN Pathways council serving parts of New York State and Pennsylvania. If this is not your council, do not submit this form. Contact your own council for instructions.

This form is to be used after completing your pre-approved community service hours.

If you did not request pre-approval from GSNYPENN for your community service, please do so now by clicking here. Then, wait until you receive approval to submit this form. Please note that requesting retroactive approval does not guarantee it will be granted.

Instructions:

Make sure you have the correct form. This is for the Community Service Bar. (The Service To Girl Scouting Bar final summary report is here.)
Submit this form for completed community service at your pre-approved organization within one year of receiving council pre-approval.
Attach your verified log of service.
Allow up to 10 business days for council to review your final summary.
Once your final summary is approved, you and your troop leader/adult volunteer will receive a congratulatory email.
After you receive notification that you have earned the award, the Community Service Bar pin may be purchased from our council retail store. Our staff can confirm your award status.

If you have any questions about filling out this form don't hesitate to contact the council at info@gsnypenn.org or call 800-943-4414.

Girl Scout Name:*

First NameLast Name

Troop # or Juliette: *

Girl Scout Email:*

You may use your adult volunteer, caregiver, or your own.

Girl Scout Level:*

CadetteSeniorAmbassador

Girl Scout Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Troop Leader/Adult Volunteer Name:*

First NameLast Name

Troop Leader/Adult Volunteer Email:*

Pre-Approval Verification:

Please locate your pre-approval email, confirm the date you received pre-approval, and enter this information in the date box.

If you have not submitted a form for pre-approval or received a pre-approval email from the council, please wait to submit this form and click here to request pre-approval.

Please note that if you submit this form without pre-approval, it will be returned to you.

Thank you for helping us efficiently process your request!

Date you received council pre-approval*

Organization that benefitted from your service:*

This should be a single organization

Organization Contact Name : *

First and Last Name

Organization Contact's Title: *

Email for Contact:*

example@example.com

Phone Number for Contact: *

Please enter a valid phone number.

Address of the organization: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please share your volunteer experience. What duties did you perform? How did your service impact the organization? What skills did you use that you've learned from Girl Scouting? Include anything else you wish to share! *

Log of Hours:

Please upload a typed document that includes the following:

Your name (The Girl Scout)
Your troop number or Juliette status
The organization's name where you volunteered
The contact person's name and phone number
The contact's signature/verification/acknowledgment (this can be typed)
The tasks you completed with dates and number of hours (you must have completed a minimum of 20 hours)

Hour log options:

An email or letter from the contact on the organization's letterhead stating the above information will be accepted as hours verification. Please attach it to this submission. (A high-quality photo is acceptable.)
You may also type your information into a Word or Excel document. However, the contact will still need to verify it. Please ask them to sign and date your log, then attach it to this submission. (A high-quality photo is acceptable.)

Thank you for your understanding and attention to this requirement!

Logs submitted without the contact's verification can not be accepted.

Questions: info@gsnypenn.org or call (800) 943-4414, option 2

Please attach a log of hours verified by the organization.*

If uploading a photo, it MUST be high-resolution as low-resolution photos are difficult to read.

Thank you!

While we process summary reports as quickly as possible, if you do not hear back from the council within two weeks, please do not hesitate to contact the Awards Department for an update: awards@gsnypenn.org.