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GIRL SCOUTS OF THE

PHILIPPINES

National

Headquarters

Manila

CGSMS Form No. 1

CHIEF GIRL SCOUT MEDAL

SCHEME
Name
:
Tricia Grace C. Javier____
Address
:
#168 Burgos B, Pilar, Bataan
Troop No.
:
17
Region
: III
Council
: Bataan
Troop Leader
: Sharon A. Nelmeda
Registration Dates : July 25, 2013
Three (3) Years of Girl Scouting Experience:
20th JR/SR Encampment
November 11-15, 2011_______
21st JR/SR Encampment
November 8-10, 2012________
Badge work
Badge Earned
1. SINDI-Film Making Activity
2. Acting Workshop
3. Family Day
4. Child Care Symposium
5. STEP Livelihood
6. Retailing/Selling
7. Classroom V-Pres.
8 .Bible Study Leader
9. Earthquake Drill
10. Fire Prevention
11. GSP Week
12. GSP Seminar
13. Linggo ng Wika
14. Cultural Presentation_
15. Tree Planting
16. Pawikan Festival

Challenges

Dates Earned

Arts
Arts
Family Life
Family Life
Eco-Self-Sufficiency
Eco-Self-Sufficiency
Well-Being
Well-Being
Preparedness
Preparedness
World Community
World Community
Heritage and Citizenship
Heritage and Citizenship
Environment
Environment

May 28, 2012______

May 20, 2012______
October 17, 2013___
August 15, 2013____
August 9, 2013_____
September 23, 2013_
June 19, 2013______
September 13, 2013_
August 13, 2013___
September 27, 2013_
October 24, 2013___
November 14, 2013_
August 23, 2013___
February 21, 2013__
July 19, 2013______
July 24, 2013______

Camping Record
Encampment
Date
Place
Troop
: __________________________________________________________________________________
Council : 21st JR/SR Encampment
November 8-10, 2012
Stella Mariz Beach, Bagac, Bataan
Regional : Patrol Leader Campers Permit
November 14-16, 2013 Bamban, Tarlac_______________
National
:
International :
Chief Girl Scout Medal Orientation/ Work
Date
: ___July 25, 2013

Place

: Bataan Council
Noted by:

Sharon A. Nelmeda
Troop Leader
Attachment:
1. Troop Leaders Endorsements
2. Parents Endorsements
3. Community Survey
Divina V. Agustin
Council Executive
Mrs. Angelita A. Manalili

Regional Executive Director

GIRL SCOUT OF THE PHILIPPINES
National Headquarters
Manila
CGSMS Form No.2

CHIEF GIRL SCOUT MEDAL SCHEME

PHASE 1 REPORT due to EO September
Name
:
Tricia Grace C. Javier
Address :
# 168 Burgos B, Pilar, Bataan
Council :
Bataan
Troop Leader:
Sharon A. Nelmeda
Target Community:
1.
From the community problems/needs surveyed, select only most pressing as recommended by the community for your project.

Feeding Program
2.
3.

Area of Work (only one): Health

Badge work
Related Badges Earned
Date Earned
1._____________________ Arts
_______________________________ _
__ May 28, 2012__________
2. _____________________Arts______________________________________________ May 20, 2012__________
3.
____ Family Life___________________________________
_ October 17, 2013________
4.___________________Family Life__________________________________________August 15, 2013_________
5.
___Eco-Self-Sufficiency
________________________________August 9, 2013_________
6.
___Eco-Self-Sufficiency
______________________________September 23, 2013______
7.
_ Well-Being_____________________________________________June 19, 2013__________
8. __________________Well-Being___________________________________________September 13, 2013______
9. ________________Preparedness___________________________________________August 13, 2013________
10.________________Preparedness___________________________________________September 27, 2013______
11.
___ World Community
______________________________October 24, 2013_________
12. ____________World Community _________________________________________ November 14, 2013______
13.____________Heritage and Citizenship
_____________________________August 23, 2013_________
14.____________Heritage and Citizenship
______________________________February 21, 2013_______
15._________________Environment
_____________________________July 19, 2013____________
16._________________Environment
_____________________________ July 24, 2013____________
About the project (use extra sheets)
4.1 Project Description: To teach children to be healthy.
4.4 Time Table:
see attached file
4.2 Objectives: To maintain good health of the children.
4.5 Budget:
Php. 4,500.00
4.3 Methods: Teaching Method
5. Name of consultant/s beside the TL, (Those who provide technical support to guide in objectives formulation and congruency of
activities to the objectives)
5.1 Divina V. Agustin
5.3 Mylene C. Larman
5.2 Sharon A. Nelmeda
5.4________________
6. Names of Work Group (Prospective CGSMS candidates but not those working already) SKs and other adults.
6.1 Rona Mae Buenaflor
6.4 Fatima Romero
6.2 Lea Angeles
6.5 Nicole Javier
6.3 Hannah Elaine
6.6 Jade Diego
7. References (Attached list of the title/topics to the project (at least 3)
Name of Book
Topic/Title Read
7.1 The New Living and Learning in Home Economics
Good Grooming and Health Habits
7.2 Ang pinakamahalagang Kwento sa Lahat
Ang Paglikha sa Mundo
7.3 Home Economics
Dietary Allowance for children
8. From your Readings in No.7 how did you apply the learnings or insights gained in your project? (use extra sheets)
Noted by:
Sharon A. Nelmeda
Troop Leader
Divina V. Agustin
Council Executive

Mrs. Angelita A. Manalili

Regional Executive Director

Submitted by:
Tricia Grace C. Javier
Candidate
September 2013
Date

GIRL SCOUTS OF THE PHILIPPINES

National Headquarters
Manila
CGSMS Form No.3

CHIEF GIRL SCOUT MEDAL SCHEME

PHASE 2 REPORT due to EO OCTOBER
Name:

Tricia Grace C. Javier

Bataan
Troop No :
17
Troop Leader: Sharon A. Nelmeda

Council :
Region :

III

1. Self Development Skills Acquired and Practiced ( At least 3 skills)

Self-confidence, learn to be patience and learn to accept people individuality.
2. Spiritual Readings (How did you apply the learnings gained from your spiritual
readings in your projects? At least 5)
I put God as the center of my project. We always pray for guidance of our God. The
children enlightened during bible study. I learned a lot about the life of God and I tried
some of his works. I offer this project to our mighty God.
3.

Spiritual Advisers Name/s

counseling
Mylene C. Larman

Dates of

November 23, 2013

Sharon A. Nelmeda

February 22, 2014

Networking (List the names of Agencies/Organization networked with)

Department of Health
Center
Dept of Social Worker and Development

Brgy.Health

Submitted by:
Tricia Grace C. Javier
Candidate
Noted by:
Sharon A. Nelmeda
Troop Leader
Divina V. Agustin
Council Executive
Mrs. Angelita A. Manalili
Regional Executive Director

March 13, 2014

Date

GIRL SCOUT OF THE PHILIPPINES

National Headquarters
Manila
CGSMS Form No.4

CHIEF GIRL SCOUT MEDAL SCHEME

PHASE 3 IMPLEMENTATION REPORT-EO June

Name:
Tricia Grace C. Javier
Bataan
Troop No :
17
Troop Leader: Sharon A. Nelmeda

Council :
Region :

1. Work Done
Dates
(use separate sheets)
_______________
__________

III

Activities undertaken Person involved

_( Please see attached)_________________

Meeting with:

Dates of meeting
Results ( attach minutes of
meetings)
Purok Leader
August 24, 2013
(Please see
attached)
Work Group
_August 10, 2013
_______________________________
Monitoring panel
1. Angelita Manalili
_______________________________
2. Divina Agustin
______________________________
3. Anita De Dios
______________________________
Others (specify): ________
_______________________________
Date of visits of monitoring panel
3.1 ______________________ 3.2 ____________________________
4. Observations of the monitoring panel (attach copies of observations)
Submitted by:
Tricia Grace C. Javier
Candidate
Noted by:
Sharon A. Nelmeda
Troop Leader
Divina V. Agustin
Council Executive
Mrs. Angelita A. Manalili
Regional Executive Director

June 2014
Date

GIRL SCOUT OF THE PHILIPPINES

National Headquarters
Manila
CGSMS Form No.5

CHIEF GIRL SCOUT MEDAL SCHEME

ACCOMPISHMENT REPORT EO JUNE

Name:
Tricia Grace C. Javier
Bataan
Troop No :
17
Troop Leader: Sharon A. Nelmeda
1.Summary of the project

Council :
Region :

III

1.1 Narrative Report of Accomplishment ( use extra sheets as needed)

1.2 Effects on the:
Community
Parents and the Brgy. Captain were very happy because of the
improvements of the childrens health and the success of the project.
Candidate
I became more active in clinic organization and I have confidence to
face people and trials that God have given to me.
2. Turn-over Ceremony (attach copy of the Program)
Place: Brgy. Burgos Multi-Purpose Hall, Burgos B, Pilar, Bataan
Date: July 11, 2014
3. List of Persons Recognized/Appreciated
Received
(use extra sheets)
Marina M. Barlis
binding
Jeany V. Dela Cruz
and print

Assistance
Book
Photocopy

4. Plans for the project

I will turn-over the project to one of my workgroups whom I know she
will do her best and work hard to achieve her success in this project.
Submitted by:
Tricia Grace C. Javier
Candidate
Noted by:
Sharon A. Nelmeda
Troop Leader
Divina V. Agustin
Council Executive
Mrs. Angelita A. Manalili
Regional Executive Director

June 2014
Date

GIRL SCOUTS OF THE PHILIPPINES

National Headquarters
Manila
CGSMS Form No.7
CHIEF GIRL SCOUT MADAL SCHEME
SUMMARY OF RATINGS

Name:
Tricia Grace C. Javier
Bataan
Troop No :
17
Troop Leader: Sharon A. Nelmeda

Council :
Region :

III

Area of Work : HEALTH

Name of evaluator
1.

Position
Council Commissioner
on Program

2.

Council Executive

3.

Outstanding Citizen

4.

Outstanding Citizen

5.

Regional Representative

Signature

Average

Prepared by:
___________________________________________________
Position
Noted by :
Mrs. Angelita A. Manalili
Regional Executive Director

Rating

GIRL SCOUTS OF THE PHILIPPINES

National Headquarters
Manila
CGSMS Form No.6
CHIEF GIRL SCOUT MADAL SCHEME
Evaluation Form
Name:
Council :
Troop Leader:
Area of Work:
Period Covered

Tricia Grace C. Javier

Bataan
Sharon A. Nelmeda
Health
July 2013 - July 2014

CRITERIA FOR EVALUATION

Rating
I. Personal Attribute - 30 % ( To be rated by the Troop Leader )
Adequate progress and growth in:
a. Spiritual and Physical health
b. integrity
sense of responsibility
d. perseverance, effort, determination
e. manners and decorum
f. knowledge and skills
g. poise and grooming
name & signature of troop leader
SHARON A. NELMEDA
signature over printed name
II. PERFORMANCE - 40 % ( To be rated by the panel of evaluator)
a. leadership abilities :
- Planning
- Organizing
b. implementation
- Follow through plans
- Networking
- Use of resources
c. Documentation
- completeness of record (neatness, organization and presentation of thoughts, presence of required
documents)
III. The Project (30 %)
a.
b.

Community Involvement
B. Effect on:
- The community
- The candidate
-

Sustainability
Total

Remarks

Note: A percentage of 80-100 % qualifies the candidates project to be submitted to GSP-NHQ/

Evaluated by: /Council Commissioner on Program/
Name/Position/Date:
ANGELITA A. MANALILI
Regional Executive Director