Silver Award Reporting Form

Silver Award Reporting Form

Date of Silver Award Completion

Date

NOTE: If you’d like to order a regular or higher-priced Silver Award for your girls, be sure to place your order directly with the GSNEO retail store. Your order can be shipped to another receiving store other than Macedonia if needed.

Silver Award Girl Scout Information:

I am a Juliette

5-digit troop number

ex: 77777

awardee first name*

awardee last name*

e-mail*

mailing address*

city*

state*

zip code*

phone number*

By checking this box, I consent to receive customer care and account notification text messages (SMS or MMS) from Girl Scouts of North East Ohio. You may opt-out at any time by replying STOP. For assistance, text HELP. Message frequency varies. Message & Data rates may apply. View TERMS (gsneo.org/terms) and PRIVACY (gsneo.org/privacy).

Take ActionProject Team

Team Members - Must list at least 2 team members and information.

team member 1 first name, last name*

How do you know them?*

role*

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team member 2 first name, last name*

How do you know them?*

role*

Do you have more team members?*

yesno

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team member 3 first name, last name

How do you know them?

role

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team member 4 first name, last name

How do you know them?

role

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team member 5 first name, last name

How do you know them?

role

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team member 5 first name, last name

How do you know them?

role

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team member 6 first name, last name

How do you know them?

role

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team member 7 first name, last name

How do you know them?

role

Take Action Project Title

start date*

Date

end date*

Date

# Hours completed*

Brief description of Take Action Project (500 words max.)*

Share with others! Please consider answering the questions below. These questions help GSNEO share your project with other Girl Scouts and the community. The questions below also highlight your hard work and becoming a Silver Award Girl Scout!

What did you discover about yourself during this project?

How did you connect with your local and global communities?

What impact did your project have on your community?

THANK YOU: Your information will be submitted to the Girl Experience Department. Requests received will be mailed on the 15th of every month. If you have questions about your request, email customercare@gsneo.org and place "Silver Award Girl Scout Report Form" in the subject line.