GIRL SCOUTS OF THE PHILIPPINES

NATIONAL HEADQUARTERS
MANILA

THE CHIEF GIRL SCOUT MEDAL SCHEME

APPLICATION FORM

I. PERSONAL INFORMATION
Name ELVIE B. DELOS SANTOS
Address: CAMBABANGAN, RIZAL, CAGAYAN
Mobile/Tel. No. Troop No. 62
Region NORTHERN LUZON Council CAGAYAN
Troop Leader MS. ELSA B. GALANG
Parents MR. & MRS. ROGELIO DELOS SANTOS
Occupation CARPENTER
Registration Dates:
3 Years of Girl Scouting Experience Star Scout
Junior Scout
Senior Scout
II. BADGEWORK (2 Badges for each of the 8 Point Challenge)
BADGES EARNED CHALLENGE DATE EARNED
God’s World Spirituality and Well Being June 2010
Friendship Spirituality and Well Being January 2011
Song Leader Arts January 2011
Literary Arts Arts March 2011
Recycling Environment February 2010
Eco-Good Turns Environment August 2010
Family Links Family Life December 2010
Me and my Family Family Life June 2010
Lifesaver & Outdoor Safety Preparedness April 2011
Home Nurse Preparedness April 2011
Community Service Heritage and Citizenship December 2010
Customs and Traditions Heritage and Citizenship August 2010
Money Management Economic Self-Sufficiency October 2010
Handicrafts Economic Self-Sufficiency July 2010
Harmony in Diversity World Community January 2011
Twinning World Community December 2010
III. CAMPING RECORD
ENCAMPMENT DATE PLACE
Troop Camp Oct. 30-31, 2009 Illuru National High Sch.
School
Council January 26-31,2010 Iguig, Cagayan
Regional
National

IV. CHIEF GIRL SCOUT MEDAL SCHEME ORIENTATION /WORKSHOP July 24, 2011

NOTED : Submitted:
ELSA B. GALANG ELVIE B. DELOS SANTOS
Troop Leader Candidate

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA
CGSMS Form No. 2
CHIEF GIRL SCOUT MEDAL SCHEME
PHASE 1 REPORT due EO SEPTEMBER
Name ANGELHYNE R. SIMON
Address BRGY. RAPULI, STA. ANA, CAGAYAN
Mobile/Tel. No. Troop No. 560
Region NORTHERN LUZON Council CAGAYAN
Troop Leader MS. MERELYN R. REPASO
Target Community: PUROK LIMBUS,STA. ANA , CAGAYAN
1. From the community problems/needs surveyed, select only one most pressing as recommended by the
community for your project: HEALTH DEVELOPMENT THROUGH INSTALLATION OF ONE UNIT JETMATIC PUMP
2. Area of Work (one only): HEALTH
3. Badgework
RELATED BADGES EARNED DATE EARNED
BADGES EARNED CHALLENGE DATE EARNED
The Word of God Spirituality and Well Being August 2010
Leadership Building Spirituality and Well Being July 2010
Performing Arts Arts September 2010
Song Leader Arts September 2010
Recycling Environment August 2010
Ecologist Environment August 2010
Me and My Family Family Life September 2010
Family Adventure Family Life August 2010
Public Safety Preparedness August 2010
Lifesaver and Outdoor Safety Preparedness September 2010
Customs and Traditions Heritage and Citizenship September 2010
Community Service Heritage and Citizenship August 2010
Plant Propagation Economic Self-Sufficiency August 2010
Money Management Economic Self-Sufficiency September 2010
Harmony & Diversity World Community July 2010
International Linkage World Community September 2010
4. About the Project (use extra sheets)
4.1 Project Description (attached) 4.4 Time Table (attached)
4.2 Objectives (attached) 4.5 Budget (attached)
4.3 Methods (attached)
5. Name of Consultants/beside the Troop Leaders (those who provide technical support to guide in objectives and
congruency to the objectives)
5.1 Barangay Captain Tito Candelario 5.3 Parents of the Day Care Center pupils
5.2 Barangay Councilors 5.4 Mrs. Esperlita dela Cruz
6. Name/s of Work Group (Prospective CGSMS candidates but not those working already) SKs and other adults.
6.1 Glydel Mateo 6.3 Glydel Gonzales 6.5 Casambalangan Students 6.7 Brgy. Officials and Community
6.2 Angelica Biggayan 6.4 Lovejoy Liquigan 6.6 BNS/SK Officials
7. References (attach list of titles/topics related to the project –at least 3)
7.1 Encyclopedia of Knowledge Readings
7.2 Desk Reference Encyclopedia Ecology
7.3 Bible Spiritual Readings
8. From the readings in no. 7 how did you apply the learning or insights gained in your project? (use extra
sheets/s) attached copy
NOTED : Submitted:
MERELYN R. REPASO ANGELHYNE SIMON
Troop Leader Candidate

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

CGSMS Form No. 3

CHIEF GIRL SCOUT MEDAL SCHEME

PHASE 2 REPORT due EO October

Name IVY JEAN MARGAREJO

Address RAPULI,STA. ANA CAGAYAN
Mobile/Tel. No. Troop No. 022
Region NORTHERN LUZON Council CAGAYAN
Troop Leader MS. MARGARITA G. CALIVA

1. Self-Development Skills Acquired and Practiced (at least 3 useful skills)

1. Leadership
2. Motivating people to support a project
3. Human Relations

2. Spiritual Readings (How did you apply the learnings gained from your spiritual readings in your
project? At least 5)
1. Trust in God
2. Faith on Yourself/Self-Confidence
3. humility and Acceptance of the truth
4. Prayer is the best weapon against any obstacle in life
5. Patience and perseverance helped me a lot in the implementation of my project.

3. Spiritual Advisers/s
Name/s Dates of Counseling

Rev. Father Virgilio Mendoza December 2010

Rev. Father Domingo Resurrecion September 2010

4. Networking (list the name of Agencies/Organizations networked with)

1. Local Government Unit of Sta. Ana

2. Barangay Council of Rapuli
3. Sitio punti Residents
4. SK Officers
5. Casambalangan National High School

Submitted by: IVY JEAN MARGAREJO

Candidate

Noted by: MARGARITA G. CALIVA

Troop Leader

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

CGSMS Form No. 4

CHIEF GIRL SCOUT MEDAL SCHEME

PHASE 3 IMPLEMENTATION REPORT due EO June

Name LOVEJOY TEJANO

Mobile/Tel. No. Troop No. 022
Region NORTHERN LUZON Council CAGAYAN
Troop Leader MS. MARGARITA G. CALIVA

1. Work Done Dates Activities Undertaken Persons Involved

(use separate sheets)
PLANNING August 2010 Information/Dissemination Brgy. Officials
CGSMS Candidate
Troop Leader

IMPLEMENTATION Sept, 2010 Putting up Brgy. Veg. Garden CGSMS Candidate

March 2011 Planting of veg. seedling Residents, Barangay
Dispersal of veg. seedlings Offcials
Painting of GSP Signage SK Members

2. Meetings with Date of Meeting Results of Meeting

*Brgy. Officials September 2010 Agenda well taken
* Work Group with Troop Leader September 2010 Agenda well taken
* Monitoring Panel 1. ________________________________
2. ________________________________
3. ________________________________
Others (specify) Council Staff School Coordinator
Barangay Officials

3. Date of Visits of the Monitoring Panel

3.1 March 2011 and May 2011

4. Observations of the Monitoring Panel (attach copies of observations)

_________________________________________________________________________________
attached copy
_________________________________________________________________________________

Submitted by: LOVEJOY TEJANO

Candidate
Noted by: MARGARITA G. CALIVA
Troop Leader

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

CGSMS Form No. 4

CHIEF GIRL SCOUT MEDAL SCHEME

PHASE 3 IMPLEMENTATION REPORT due EO June

Name IVY JEAN MARGAREJO

Mobile/Tel. No. Troop No. 022
Region NORTHERN LUZON Council CAGAYAN
Troop Leader MS. MARGARITA G. CALIVA

1. Work Done Dates Activities Undertaken Persons Involved

ATTACHED COPY
__________________ ___________ ______________________ __________________
__________________ ___________ ______________________ __________________

2. Meetings with Date of Meeting Results of Meeting

Barangay Officials September, 2010 Approved
Troop Leader & Sch. Principal July 2010 Approved
Others: Council Staff
GSP Coordinators
Barangay Officials
3. Date of Visits of the Monitoring Panel
3.1 April 1, 2011 3.2 May 6 , 2011
4. Observations of the Monitoring Panel (attach copies of observations) SEE ATTACH COPY

Submitted by: IVY JEAN MARGAREJO

Candidate

____________________________
Date
Noted: MARGARITA G. CALIVA
Troop Leader

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

CGSMS Form No. 5

CHIEF GIRL SCOUT MEDAL SCHEME

ACCOMPLISMENT REPORT due EO June

Name IVY JEAN MARGAREJO

Mobile/Tel. No. Troop No. 022
Region NORTHERN LUZON Council CAGAYAN
Troop Leader MS. MARGARITA G. CALIVA

1. Summary of the Project

1.1 Narrative Report of Accomplishment (due extra sheets as needed)
ATTACHED COPY
_____________________________________________________________________________
1.2 Effects on the:
Community ATTACHED COPY

Candidate ATTACHED COPY

2. Turn-Over Ceremony (Attach copy of the Program)

Place Rapuli Barangay Hall, Sta. Ana, Cagayan
Date: June 17, 2011

3. List of Persons Recognized/Appreciated Assistance Received

1. Mayor & Mrs. Darwin Tobias Financial
2. Brgy. Captain Tito Candelario Financial
3. Barangay Council Financial
4. Mr. & Mrs Jonas Margarejo Financial and Moral Support
5. Residents of Brgy. Rapuli Moral Support
6. Brgy. Kagawad Ronie Olandiz Lot Donor

4. Plans for sustaining the Project ATTACHED COPY

Submitted by: IVY JEAN MARGAREJO

Candidate

Noted by: MARGARITA G. CALIVA

Troop Leader

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

CGSMS Form No. 5

CHIEF GIRL SCOUT MEDAL SCHEME

ACCOMPLISMENT REPORT due EO June

Name JONA LIZA S. RAGUINGAN

Region NORTHERN LUZON Council CAGAYAN
Troop Leader MRS. ROSALIE P. LUGO Troop No. : 061

1. Summary of the Project

1.1 Narrative Report of Accomplishment (due extra sheets as needed)
attached copy
_______________________________________________________________________________
_____________________________________________________________________________
1.2 Effects on the:
Community
Attached copy
_______________________________________________________________________________
_____________________________________________________________________________
Candidate
attached copy
_______________________________________________________________________________
_____________________________________________________________________________

2. Turn-Over Ceremony (Attach copy of the Program)

Place: Barangay Hall, Buntun, Tuguegarao City
Date: June 5, 2011

3. List of Persons Recognized/Appreciated Assistance Received

(use extra sheets) attached copy

4. Plans for sustaining the Project

attached copy
_________________________________________________________________________________
_____________________________________________________________________________

Submitted by JONA LIZA S. RAGUINGAN

Candidate

____________________________
Date
Noted: ROSALIE P. LUGO
Troop Leader

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

THE CHIEF GIRL SCOUT MEDAL SCHEME

Evaluation Form
Name : DEVINE LAUREINE FULGENCIO
Council : CAGAYAN Region NORTHERN LUZON
Troop Leader : MRS. SHIRLEY F. LORENZO Troop Number: ____
Area of Work : HEALTH
Period Covered: July 2010 – June 2011
CRITERIA FOR EVALUATION

I. PERSONAL ATTRIBUTES 30% (to be rated by the Troop Leader)

Adequate Progress and Growth in: RATING
a. Spiritual and Physical Health _________
b. Integrity _________
c. Sense of Responsibility _________
d. Perseverance, Effort & Determination _________
e. Manners and Decorum _________
f. Knowledge and Skills _________
g. Poise and Grooming _________
Name & Signature of Troop Leader: JOYCE D. SUBOC
II. PERFORMANCE 40% (to be rated by the Panel of Evaluators)
a. LEADERSHIP _________
- Planning
- Organizing
b. IMPLEMENTATION _________
- Follow through of plans
- Networking
- Use of Resources
c. DOCUMENTATION _________
- Completeness of records (neatness, organization & presentation of thoughts, presence
of required documents)
III. THE PROJECT 30%
A. COMMUNITY INVOLVEMENT _________
B. EFFECT ON: _________
- Community
- Candidate
C. SUSTAINABITY _________
TOTAL _________

Remarks: A percentage of 80 %to 100% to qualify the candidate for the Chief Girl Scout Medal

Evaluated: ____________________

Date ____________________

Noted LAILA F. MORALES

Regional Executive Director
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

THE CHIEF GIRL SCOUT MEDAL SCHEME

Summary of Rating

Name : ANGELHYNE R. SIMON

Council : CAGAYAN Region NORTHERN LUZON
Troop Leader : MS. MERELYN R. REPASO Troop Number : 560
Area of Work : HEALTH : INSTALLATION OF ONE UNIT JETMATIC PUMP

NAME OF EVALUATOR POSITION SIGNATURE RATING

1. Outstanding Citizen

2. Outstanding Citizen

3. LORNA B. MANAUIS, Ph.D. Council Commissioner on

Program
4. HELENA C. TUNGCUL Council Executive
5. Regional Representative

AVERAGE ____________________

Evaluated : ___________________________
___________________________
Position

Noted LAILA F. MORALES

Regional Executive Director
COMMUNITY PROFILE

1. Name of Purok/Zone Population

2. Barangay Municipality/Provincial/City:
3. No. of Families in the Purok No. of Interviewed
4. No. of Houses: Light Materials Concrete
5. No. of Houses with:

Toilets Electricity
Running Water Artesian Well
Flower Garden Vegetable Garden
Poultry Piggery

6. No. of schools/in the purok/zone

7. No. of church/chapel in the purok/zone
8. Government offices located in the purok/zone
9. No. of hospital/clinic in the purok/zone
10. Community centers available like day care, reading, health centers, others (specify) in the
purok/zone
11. Means of transportation available in the purok/zones
12. Recreational facilities available in the purok./zone
13. Means livelihood/occupation/employment of the people in the purok/zone
14. Educational attainment of the (indicate number)

In school Out of School

15. No. of school children of school age (6yrs. -21 yrs)

Men : Elementary High school Degree Holder

Women: Elementary High school Degree Holder

16. General condition of:

Roads Drainage :
Park Plaza/trees & other plants :
Market Garbage disposal : Compost pit

17. Persons Interviewed

18. Identified three (3) community problem/needs

1. Communal Garden
2. Trees
3. Garbage Disposal

Carmela bian
CGSMS Candidate
Noted: JOYLIN C. CORTES
Troop Leader
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
REGION 02
DIVISION OF CAGAYAN
BAUA NATIONAL HIGH SCHOL
GONZAGA , CAGAYAN

INSTALLATION OF ONE UNIT JETMATIC PUMP WATER SYSTEM

PUROK 06, SAN JOSE, GONZAGA, CAGAYAN

PROJECT EXPENDITURES:

A. EXPENDITURES

1 unit jetmatic pump and accessories--------------------- P2,500

11 bags cement------------------------------------------------------ P2,730
100 pcs hallow blocks----------------------------------------------- P1,310
¼ load gravel and sand -------------------------------------------- P810
4 pcs GI sheet 6 ft--------------------------------------------------- P640
5 pcs 1 ¼ pvc--------------------------------------------------------- P640
4 pcs 10 mm rod----------------------------------------------------- P610
1 liter latex paint (white)------------------------------------------ P180
1 liter latex paint (green)----------------------------------------- P180
¼ liter latex paint (red)------------------------------------------ P60
2 kilos assorted nails---------------------------------------------- P120
½ kilos umbrella nails--------------------------------------------- P60
2 pcs elbos----------------------------------------------------------- P80

Total ------------------- P9,800

 FINANCIAL STATEMENT

Name of the Project :COCONUT TREE PLANTING

AREA OF WORK :ECOLOGY
Address : Barangay Cabiraoan, Gonzaga, Cagayan

1. SOURCES OF FUNDS
Cash on Hand P16,880.00
Solicitations P12,000.00
Donations 4,880.00

2. Less: EXPENDITURES

ITEM DESCRIPTION QUANTITY UNIT COST

Portland cement 6 bags 1,500.00
Paint 2 gallons 1,000.00
Assorted nails 5 kgs. 500.00
Lumber 2x3x8 20 pcs. 2,500.00
Concrete hollow blocks 100 blks. 1,000.00
Ridge roll 1 pc. 220.00
Gasoline 2 gals. 200.00
Coconut seedlings 300 pcs. 1,500.00

Sub Total

3. TOTAL CASH BALANCE P -

- - 0 - -
LIST OF DONORS

NAME AMOUNT
Cong. Jack Enrile P2,700.00
LGU of Sta. Teresita 1,500.00
Sta. Teresita Nat’l. HS 1,000.00
Brgy. Council of Dungeg 1,000.00
Mrs. Edna Valdez 5,000.00
OFW 2,000.00
Friends & Relatives 3,600.00

TOTAL P 16,800.00
LEARNINGS BASED ON THE RESEARCH TOPICS:

COMMUNICATION
 I learned that the appropriate use of varied communication techniques and
strategies to helped a lot in the accomplishment of various tasks to be done
with the project.
 I learned that smile promotes positive reactions when discussing with group of
individuals about the project.
 I learned that one could find more significant meaning in life when we can
communicate well due to lesser misunderstanding.

COMMUNITY DEVELOPMENT
 Implementing the Girl Scout program in the community helped me gain a
strong determination to succeed.
 I learned that introducing a community project to the people gave me the
chance to win friends and become a model.
 I learned that self-discipline is needed to attain my goal.

HUMAN RELATION
 I learned that it is nicer to call people by their name. They respond with good
mood immediately.
 I learned that creating humorous words helps me finish my project.
Being courteous to people helps me finish my project.
OBSERVATION OF THE MONITORING PANELS

TROOP LEADER:
The candidate must visit her project regularly.

BARANGAY OFFICIALS
The candidate should coordinate to the Barangay Council
whatever problems/needs with regards to the development of
her project.

COUNCIL HEADQUARTERS:
That the project site should maintain its cleanliness especially
that it is beside the Barangay Day Care Center;

That the site of the project must be beautified too;

Ask the assistance of the Municipal Health Officer to test the

notability of the source of water;
EFFECT ON THE PROJECT

BARANGAY OFFICIALS

 The said project became an eye opener to the officials of Buntun,

as well as the SK Officers and members that proper disposal of
waste plays a vital role in reducing the cases of insect-caused
diseases specially mosquitoes.

COMMUNITY

 People of Buntun realized that proper waste disposal does not only
reduces diseases but it also beautifies the community because
since the day the project was implemented, garbage hang in fences
before the collection of garbage was being minimized in which
before this scenario was an eyesore to the community.

CANDIDATE

 This project has taught me to become a responsible leader in my

own. It made me realized that as a senior scout, I have a very great
role in the promotion of the “Clean and Green Program” of the
government .
 WORK ACTIVITIES

FRAME WORK ACTIVITIES DATES PERSONS

INVOLVED
PLANNING Information/Dissemination to July to August CGSMS Candidate/
the School Principal/Barangay 2010 Troop Leader/
Officials and Purok Leaders School Principal
Barangay Officials/
Attend CGSMS Orientation and Council Executive
Community Survey

Submit Application Letter to

Council Headquarters at
Tuguegarao City

CGSMS Candidate/
ORGANIZING Attend Barangay Council Meeting August Troop Leader/
with the Barangay Captain and to School Principal
his Council September Barangay Officials/
2010 Community
Organize Networking Groups
with different clubs in the
barangay

Cleaning the proposed project September

IMPLEMENTATION site with the helped of the 2010 CGSMS Candidate/
Barangay Officials and some Troop Leader/
community members to Barangay Officials/
Community
Procurement of the needed May 2011 Day Care Teacher
materials

Installation of the pump and

kiosk

Maintain Cleanliness and

beautification

Work on CGSMS logbook

FINALIZATION/COMPLETION Council Visitation January 2011 Sch. GS Coordinator

EVALUATION OF THE Regional Evaluation to Barangay Officials
PROJECT Turn Over of Project June 2011 Council Staff
Submission of Regional Staff
 MONTHLY ACCOMPLISHMENT

JULY 2010
Miss Margarita Caliva, our Troop Leader conducted a troop meeting.

AUGUST 2010
We attended the CGSMS Orientation Workshop which held in our school. Also, we
informed our School Principal about our intent to join in the Chief Girl Scout Medal
Scheme project.

We also visited the office of the Barangay Captain and informed him about the
Program Thrusts project of the Girl Scouts of the Philippines, the Chief Girl Scout
Medal Scheme.

Together with my fellow candidates, we have a community survey in our respective

puroks.

Submitted an application form to the Council Headquarters.

SEPTEMBER 2010
We attended the Barangay Council Meeting at the Barangay Hall . And we presented
to them the result of our survey. The Barangay Captain told us it was their problem
too because the community folks are hard up in fetching potable water in their
place.

We organized our networking group to work with me in realization of my project.

We cleaned the project site and removed tall grasses in the project site.

I also submitted my research topic to my troop leader for editing. And I also had my
spiritual guidance from a lay leader.

OCTOBER 2010
On this month, my troop leader drafted a solicitation letter signed by our principal.

Through the money we raised from our solicitation, we procure the needed
materials ready for the installation of one unit jetmatic pump.

Started working on my CGSMS documents.

NOVEMBER 2010
 The Barangay Officials and some members of the community folks started to work
on my project. The members of the team removed the dirty water inside the well to
make it suitable and safe for drinking. They cover the well to prevent it from
contaminated object. Then, they place a pvc tube from the well to the jetmatic
pump.

DECEMBER 2010
My troop leader assists me in making my logbook and ready for the pre-evaluation. I gather
impressions from the residents with regards to my project.

JANUARY 2011
The community residents installed the jetmatic pump. We also clean the surroundings.

FEBRUARY 2011
Continue cleaning the surrounding with the help of my fellow scouters and residents of the
community.

MARCH 2011
The Council Staff visited my project and give some recommendation for the betterment of
my project.

April 2011
The beneficiaries of my project help in building the kiosk and beautified the surroundings
by planting of ornamental plants.

MAY 2011
Evaluated my project by the Regional Staff headed by the Regional Executive Director Ms.
Laila F. Morales last May 6, 2011.

JUNE 2011
Turned over the project to the Barangay Council of Casambalangan.

Submitted my CGSMS logbook.

 TURN OVER PROGRAMME
JUNE 1, 2011
DUNGEG BARANGAY HALL
DUNGEG, STA. TERESITA, CAGAYAN

PROGRAMME
Invocation ---------------------------------------------- ANGELICA ANDAYA
Senior Girl Scout

Pambansang Awit------------------------------------ Harritte Quimby Tibuc

Barangay Secretary

Opening Remarks----------------------------------- MS. CZARINA MAE PAGADOR

SK Chairman

Turn Over Speech---------------------------------- PREXCEEH ANGELA VALDEZ

CGSMS Candidate

Acceptance Speech--------------------------------- HON. AVELINO SOBRERA

Barangay Captain

Impressions:
VIOLETA TABASAN
B.N.S.

NESSIE TACTAC
Brgy. Kagawad

Response------------------------------------------ PREXCEEH ANGELA VALDEZ

CGSMS Candidate

Parting Shots-------------------------------------- TORQUIANO PALOR

Barangay Kagawad

Lady of Ceremony:

MARY JANE TACTAC

Barangay Secretary
 TURN-OVER SPEECH DELIVERED
BY SENIOR SCOUT PREXCEEH ANGELA M. VALDEZ
CHIEF GIRL SCOUT MEDAL SCHEME CANDIDATE

To our ever supportive Barangay Officials, our School Principal, Troop

Leaders and my fellow candidates for the Chief Girl Scout Medal Scheme,
benefactors and to everyone around, good morning.

I was in my first year when I first heard about the Chief Girl Scout Medal
Scheme and yes, I wanted to be a candidate and to be a medalist, with my belief
of the Girl Scout Promise and Law. I decided to join the scheme.

Purok 1 – The Core Shelter of Barangay Dungeg is a place where I decided

to put up my project. I know that the people living in this area need my help. And
I’m blessed that through the help of some civic minded individuals, my project
was accomplished.

From there, I then realized that my simple contribution and vision will serve
as an inspiration not only to the youth but to all the people who will open their
heart in community services.

With the implementation of my project, I want to express my utmost

thanks for your cooperation and help. To the benefactors who are here with us,
thank you for being the blessings in this project, to the Barangay Captain along
with his council, Sir, I now turn over to you my project; please take good care of
the project. Let it be an accomplishment for all of us.

Thank you to all the people who have helped me finish this project.

God Bless us all ! ! !

At the outset allow me to greet you a pleasant day most especially to our
visitors and of course the Girl Scouts of the Philippines Troop Leaders and the
Chief Girl Scout Medal Scheme candidates of Sta. Teresita National High School
through the leadership of our school principal Mrs. Nympha Alagao and School GS
Coordinator Ms. Rose M. Macapulay. Whom we owed unmeasurable help by
giving us this project which is very useful most especially to the people of Purok 1
– Core Shelter.

In behalf therefore of the Dungeg Barangay Officials and by the power

vested in me as the Barangay Chairman I, Barangay Chairman Avelino Sobrera
now accept this project INSTALLATION OF ONE UNIT JETMATIC PUMP” with much
gratitude for giving us the project. WE promised you that we will take good care
of it through the years.

Once again, thank you and Mabuhay tayong lahat.

 Republic of the Philippines
Province of Cagayan
Municipality of Sta. Ana
Barangay Rapuli

OFFICE OF THE SANGGUNIANG BARANGAY

PLANS FOR SUSTAINING THE PROJECT

The following are the plans for sustaining the project implemented by Senior Girl Scout ANGELHYNE R.
SIMON at Day Care Center, Purok Limbus, Brgy. Rapuli, Sta. Ana, Cagayan:

 Make a memorandum of agreement to be signed by all beneficiaries to maintain and sustain

the project.
 Draft an ordinance to safeguard the project so that it will be maintained and sustained.
 Allot an amount from our IRA for its maintenance.

As the Chairman of this barangay, I hereby commit myself for the sustainability of the project
implemented in our locality .

Signed this 5th day of June, 2011.

TITO CANDELARIO
Barangay Captain
 TABLE OF CONTENTS

CGSMS FORM 1
a. Chief Girl Scout Medal Scheme Application Form
b. Endorsement Letters
c. Community Profile
d. Form 1-A Worksheet #1 Problem/Opportunity Analysis
e. Form 1-A Worksheet #2 Problem Design Checklist

CGSMS FORM 2
a. Project Description
b. Objectives
c. Methods
d. Action Plan
e. Financial Budget
f. Leanings Gained in the Research Work

CGSMS FORM 3
a. Spiritual Readings
b. Learnings on Spiritual Readings

CGSMS FORM 4
a. Minutes of the Meetings
b. Observations of the Monitoring Panel

CGSMS FORM 5
a. Narrative Report of Accomplishment
b. Effects on the Community and Candidate
 c. Turn-Over Ceremony Programme
d. List of Persons Recognized
e. Plans for Sustaining the Project
f. Monthly Accomplishment of the Project
g. Problems Met and Solutions
h. Impressions
i. Correspondence
j. List of Beneficiaries
k. Pictorials

CGSMS FORM 6
a. Evaluation Forms