GSSJC F-486 Silver Award Final Report

GSSJC F-486 Silver Award Final Report
Be sure your Final Report:

• includes a budget that lists both income and expenses that equal zero (income - expenses=0 OR income=expenses)

• in a Project Team: includes individual time logs that demonstrate individual leadership hours

• constitutes the required number of ~50 hours per girl in a project

• reflects upon a project that matches your approved project proposal

• properly complete all form fields

• if you filled out a F-30 or F-32 please be ready to upload the approval documentation

If you are ready to fill out the Final Report please click Next!

GSSJC F-486 Silver Award Final Report
Combined Team Names (auto-populated)
This form MUST be filled out with all project Adults (Troop/Group Leader and Adult Girl Scout Volunteer Supervisor, if not the same person) and Girl Scout Team Members Present.

Their signatures are required at the end of this document.
How Many Cadettes in your Silver Award Project Team?*
Is this different from the proposal?

YesNo
If so, please explain:
Name of Team Member #1

First NameLast Name
Troop Number
Community
Current Grade
Only 9th graders on track to submit their Final Report by September 30 of their 9th grade year (or younger) are eligible.
Girl Scout Email #1
example@example.com
Parent/Guardian Email #1
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Team Member #2

First NameLast Name
Troop Number
Community
Current Grade
Only 9th graders on track to submit their Final Report by September 30 of their 9th grade year (or younger) are eligible.
Girl Scout Email #2
example@example.com
Parent/Guardian Email #2
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Team Member #3

First NameLast Name
Troop Number
Community
Current Grade
Only 9th graders on track to submit their Final Report by September 30 of their 9th grade year (or younger) are eligible.
Girl Scout Email #3
example@example.com
Parent/Guardian Email #3
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Team Member #4

First NameLast Name
Troop Number
Community
Current Grade
Only 9th graders on track to submit their Final Report by September 30 of their 9th grade year (or younger) are eligible.
Girl Scout Email #4
example@example.com
Parent/Guardian Email #4
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Help with Determining Community
For help in finding your Community name, press on the following link and enter your address. Then click on your address “dot” and your Community name should pop up.

Click here

After inputting your Girl Scout Community, your Girl Scout Region should auto-populate. If you believe there is an error, please reach out to Customer Service at 713-292-0300 to determine your Community and Region.

Adult Resources, Partnering Organization, and Project Location
Your Troop/Group Leader: has witnessed the journey and completed Take Action Project (TAP) OR has verified with the adult that faciliated the Journey and TAP and is comfortable Approving it.

They must be background checked via Girl Scouts.
Your Troop/Group Leader*

First NameLast Name
Troop/Group Leader Email address*
example@example.com
Troop/Group Leader Phone Number*
Please enter a valid phone number.
Troop/Group Leader Address (to mail certificates)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult Girl Scout Volunteer Supervisor

This is the adult volunteer supervising the Silver Award project team, including managing safety and Silver Award procedures.

They must be background checked via Girl Scouts.

The finalized Final Report (with adult resource signatures) will be sent to this email address.
Check here if this individual is the same person as your Troop/Group Leader

Same as Troop/Group Leader
Adult Girl Scout Volunteer Supervisor Name*

First NameLast Name
Adult Girl Scout Volunteer Supervisor Email*
example@example.com
Adult Girl Scout Volunteer Supervisor Phone Number*
Please enter a valid phone number.
Project Advisor[Optional]
Project Advisor Name

First NameLast Name
Project Advisor Email
example@example.com
Project Advisor Phone Number
Please enter a valid phone number.
Partnering Organization (if applicable)
i.e. The Humane Society, Houston Food Bank, Parks and Wildlife
Project Location
i.e. Harris County Park #11, Nehemiah Center

Tell Us About Your Project!

Fill out this page together
Project Title*
Start Date*

MonthDayYear
Date
Completion Date*

MonthDayYear
Date
1. The issue the project addressed was... (please include a 3-4 sentence description. See the Cadette Workbook for Earning Your Silver Award, Step 4)*
2. It mattered because...(Please include 3-4 sentence description. See the Cadette Workbook for Earning Your Silver Award, Step 4.)*
3. The target audience (who your project benefited) was... (Please include 1-2 sentence description. See the Cadette Workbook for Earning Your Silver Award, Step 4.)*
4. Community members who I contacted or partnered with to research my issue and find the root cause, and help complete the project (See Cadette Workbook for Earning Your Silver Award, Step 3.):*
5. The root cause of the issue was... (Please include a 3–4 sentence description. See the Cadette Workbook for Earning Your Silver Award, Steps 3 and 4.)*
6. My team’s project idea was... (Please include a 3–4 sentence description of your project, including the result and how it addresses the root cause of your issue. See the Cadette Workbook for Earning Your Silver Award, Step 4.)*

GSUSA Main Theme
GSUSA Main Theme*

If you are unsure what your Main Theme is, please open this section

7. The project is sustainable because my team... (Check the boxes that apply. See the Cadette Workbook for Earning Your Silver Award, Step 5.)*

Created a permanent solution that can be used after the project is complete.Educated and inspired others in the community or within Girl Scouts to be part of the change.Advocated to change a rule, regulation, or a law and encouraged others to join.
Here is how it was done... (Please include a 3–4 sentence description.)*
8. Please provide a description of your (or team’s) leadership. (See the Cadette Workbook for Earning Your Silver Award, Steps 2 and 5.)
Project Teams: Again, this is an individual LEADERSHIP award.

Each Team Member needs to have a UNIQUE leadership role listed! The description must be unique too.

You might consider listing all the tasks needed to complete your project and then divide them between each of you. Each description will explain how all the leadership skills of that team member will shine.

Each of you may have more than one!
Team Member #1 Name

First NameLast Name
Leadership Roles
e.g. Videographer, editor, content creator
Reponsibilities
Team Member #2 Name

First NameLast Name
Leadership Roles
e.g. Videographer, editor, content creator
Reponsibilities
Team Member #3 Name

First NameLast Name
Leadership Roles
e.g. Videographer, editor, content creator
Reponsibilities
Team Member #4 Name

First NameLast Name
Leadership Roles
e.g. Videographer, editor, content creator
Reponsibilities

Budget and Fundraising
9. Provide supplemental documentation of a budget worksheet of money or nonmonetary donations of goods received or spent and any associated costs. (See the Cadette Workbook for Earning Your Silver Award, Step 5, and use the form in the template pages. Other spreadsheet formats are acceptable.)
Tip #1

Be sure that on your Final Report that your Budget shows that your

Total Expenses = Total Income.

(Your project NET balance will be ZERO).

(In other words, Income - Expenses = ZERO = Project Net Balance).
Tip #2

You may group income or expenses together if it fits better above.

(E.g. Cash from friends + cash from family= cash from friends and family

&/OR

wood, glue, plus nails=building materials)

Sample:

Income - source	$ Amount
1 ream of paper donated by family	$10.00

Supplies / Expenses
1 ream of paper	$10.00
Total	0

For your income describe where the funds came from. Troop Funds? Friends and Family? Self? Via Approved Fundraising Event?

***You will need to provide the approval documentation of any F-30 &/or F-32 below!

For expenses describe what you spent it on: snacks for team, wood for build, bags for kits.
Project Budget Table*
If you were not able to fit all your budget items above you may upload a picture or document of your budget. It must include Expenses and Income and illustrate that your Project Net Balance was Zero.

You may upload a file only. Please say "See attachment" in the table above if so.
Upload budget/income/expenses spreadsheet or similar file.

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Did you do Additional Money-Earning Activities (F-32) or Solicit for In-Kind Donations (F-30) for this project?

YesNo
Please upload your F-32 and/or F-30 signed document or email approval.

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Try It!

These are Optional but Highly Recommended
11. Try it: Describe how the project was measurable by sharing the goal you set and if it was achieved. (See the Cadette Workbook for Earning Your Silver Award, Step 5.) [Optional]
12. Try it: Describe any changes to your original national and/or global link. (See the Cadette Workbook for Earning Your Silver Award, Step 5.) [Optional]
Hint: Hyperlinks to research a plus!

Section 2-Group Response
Outline how you shared your project and provide copies of photos, videos,
flyers, and/or other evidence that documents the work you did. Include
photo release forms if needed.
1. How did you let others know about your project and the impact it had? (Please include a 3–4 sentence description. See the Cadette Workbook for Earning Your Silver Award, Step 7.)*
2. Provide any copies of photos, video, flyers, and/or evidence that documents your project to help share the big picture of what you and your team accomplished. Please understand the materials cannot be returned. (See the Cadette Workbook for Earning Your Silver Award, Step 7.)

Please provide a copy of your photo release form if required.
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Section 3 – Individual Response

Time Logs
Complete your individual reflection, sharing what you learned along the way. Include your time log (required) for EACH Girl Scout on the Project Team.

1. Provide EACH individual’s Silver Award project time log. Remember to only list time spent after Journey completion. (See the Cadette Workbook for Earning Your Silver Award, Step 6, and use form in the template pages, or other acceptable formats.)
We will do one of these options

We will upload copies our time log for each individual GirlWe will use the time log table for each individual girl
Time Log for Project Team Member 1
Time Log for Project Team Member 2
Time Log for Project Team Member 3
Time Log for Project Team Member 4
Upload Team Member 1 Time log Here

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Upload Team Member 2 Time log Here

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Upload Team Member 3 Time log Here

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Upload Team Member 4 Time log Here

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2. Reflection questions:
The Silver Award is an individual leadership award and, therefore, certain fields of this form require individual answers. Each member must share their individual answers to these sections in their own words.

Please note that if the content of these fields is the same across multiple Project Team members, the Silver Award Review Board will request to receive these individual answers resulting in a delay in the approval process.

In other words, do not copy and paste your Project Team's answers.
Team Member #1 Name

First NameLast Name
Describe in detail what you did for your leadership role. (Please include a 3–4 sentence response.)
In completing this project, what did you discover about yourself? (Please include a 3–4 sentence response.)
What skills did you gain and how will these skills help you in the future? (Please include a 3–4 sentence response.)
What part of your project would you change if you could start over, and why? (Please include a 3–4 sentence response.)
Team Member #2 Name

First NameLast Name
Describe in detail what you did for your leadership role. (Please include a 3–4 sentence response.)
In completing this project, what did you discover about yourself? (Please include a 3–4 sentence response.)
What skills did you gain and how will these skills help you in the future? (Please include a 3–4 sentence response.)
What part of your project would you change if you could start over, and why? (Please include a 3–4 sentence response.)
Team Member #3 Name

First NameLast Name
Describe in detail what you did for your leadership role. (Please include a 3–4 sentence response.)
In completing this project, what did you discover about yourself? (Please include a 3–4 sentence response.)
What skills did you gain and how will these skills help you in the future? (Please include a 3–4 sentence response.)
What part of your project would you change if you could start over, and why? (Please include a 3–4 sentence response.)
Team Member #4 Name

First NameLast Name
Describe in detail what you did for your leadership role. (Please include a 3–4 sentence response.)
In completing this project, what did you discover about yourself? (Please include a 3–4 sentence response.)
What skills did you gain and how will these skills help you in the future? (Please include a 3–4 sentence response.)
What part of your project would you change if you could start over, and why? (Please include a 3–4 sentence response.)

Silver Award Publicity

Once you have earned your Silver Award, you are eligible to have your project selected to be shared and promoted within the Girl Scout audience and to the public. Select which level of publicity you are interested in. Please note that the following question indicates interest only. Please submit your Silver Award Publicity Form for each Silver Awardee in your project to silveraward@sjgs.org**.
I/We are interested in the following publicity level:*

Public Audience Only (including public news releases and social media)Girl Scout Audience Only (including Golden Link highlight, Highest Awards Yearbook highlight, GSSJC social media, GSSJC events, GSSJC displays/exhibits)Both Public Audience and Girl Scout Audience (descriptions above)No Publicity (neither public nor in the Girl Scout Community)
I/We understand that to be eligible for publicity, each Silver Awardee in the project must fill out and submit the Silver Award Publicity Form together to silveraward@sjgs.org**.*

Yes, I/we understand.
I/We understand that approving publicity does not guarantee that my/our project will be chosen to be highlighted on any platform (the Golden Link, the Highest Awards Yearbook, on social media, etc) and that limited spots for project highlights are filled based on a variety of criteria.*

Yes, I/we understand.
**A publicity form will be attached to an email sent to the parent/guardian. So please be sure the parent/guardian emails are correct.

Finalizing!

Acknowledgments and Signatures and Submit to get Supporting Adult Signatures
We*—the Girl Scout Cadette(s), troop/group leader, and adult Girl Scout volunteer supervisor—agree and understand that the Silver Award Project:

• Cannot be just a collection or donation drive. Donations may be part of a larger Silver Award project.
• Cannot be a fundraiser for another organization, program, or individual.
• Is not simply volunteering time for another organization in an already existing project.
• Cannot be done by multiple teams. Only one team (1–4 Girl Scouts) may collaborate on each Silver Award project.
• Is a Take Action project, not a community service project—even if the community service project is very large and takes a lot of time and hard work.

I, Girl Scout Cadette, followed all the requirements and guidelines as outlined by the Cadette Workbook for Earning Your Silver Award and my Council during my Silver Award project.
Team Member #1 Signature

Clear
Date

MonthDayYear
Date
Team Member #2 Signature

Clear
Date

MonthDayYear
Date
Team Member #3 Signature

Clear
Date

MonthDayYear
Date
Team Member #4 Signature

Clear
Date

MonthDayYear
Date
Troop/Group Leader/Adult Volunteer Supervisor Signatures
I, the adult Girl Scout volunteer supervisor, confirm that the Cadette(s) above fulfilled requirements for the Girl Scout Silver Award and that they upheld all guidelines specific to their project as outlined by the Adult Guide for Earning the Silver Award, Cadette Workbook for Earning Your Silver Award, and my Council.
AVS Signature

Clear
Date

MonthDayYear
Date
I, the Girl Scout Troop/Group Leader, have reviewed the above Girl Scout Silver Award Final Report. I am aware of and believe this project aligns with the requirements and guidelines outlined by the Adult Guide for Earning the Silver Award, Cadette Workbook for Earning Your Silver Award, and my Council.
Troop Leader Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

GSSJC F-486 Silver Award Final Report

GSSJC F-486 Silver Award Final Report

Adult Resources, Partnering Organization, and Project Location

Project Advisor[Optional]

Tell Us About Your Project!

GSUSA Main Theme

Budget and Fundraising

Try It!

Section 2-Group Response

Section 3 – Individual Response

Silver Award Publicity

Finalizing!

Troop/Group Leader/Adult Volunteer Supervisor Signatures