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CGSMS Form No. 1

Jericha Dale Vera Cruz Rosales is applying for the Chief Girl Scout Medal. She has been a Girl Scout for 3 years at each level from Junior to Senior Scout. She has earned 16 badges covering the 8-Point Challenge areas. Jericha has participated in troop, district, and council encampments. She attended the Chief Girl Scout Medal Orientation workshop. Her application is endorsed by her troop leader, council executive, and regional executive director. Required attachments include endorsements from her troop leader and parents as well as a community profile.

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2K views2 pages

CGSMS Form No. 1

Jericha Dale Vera Cruz Rosales is applying for the Chief Girl Scout Medal. She has been a Girl Scout for 3 years at each level from Junior to Senior Scout. She has earned 16 badges covering the 8-Point Challenge areas. Jericha has participated in troop, district, and council encampments. She attended the Chief Girl Scout Medal Orientation workshop. Her application is endorsed by her troop leader, council executive, and regional executive director. Required attachments include endorsements from her troop leader and parents as well as a community profile.

Uploaded by

Der Neath
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We take content rights seriously. If you suspect this is your content, claim it here.
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GIRL SCOUTS OF THE PHILIPPINES

National Headquarters
Manila

CGSMS Form No. 1

CHIEF GIRL SCOUT MEDAL SCHEME


APPLICATION FORM

I. Personal Information
Name : Jericha Dale Vera Cruz Rosales
Address : Villa Alegre, Brgy. Tugas, Tanjay City, Neg. Or.
Telephone No. : 09362017269 Troop No.: 1506
Region : Visayas Council: Negros Oriental-Siquijor
Troop Leader : Ms. Niña Mae M. Cañolas
Parents : Roberto B. Rosales Jr.; Delia V. Rosales
Occupation : Therapist; Housewife
Registration Dates : July 9, 2016; June 16, 2017
Three (3) Years of Girl Scouting Experience
3 years- Star Scout
3 years- Junior Scout
3 years- Senior Scout

II. Badgework (2 badges for each of the 8-Point Challenge)

Badges Earned Challenge Dates Earned


1. Personal Safety Preparedness August 28, 2016
2. Public Safety -do- -do-
3. Recycling Environment September 2, 2016
4. Ecologist -do- -do-
5. Relating with Other Well-being September 16, 2016
6. Friendship Badge -do- -do-
7. Links of Unity World Community September 17, 2016
8. Harmony in Diversity -do- September 16, 2016
9. Food Production Economic Self-suff. July 7, 2016
10. Money Management -do- -do-
11. Performing Arts Arts September 17, 2016
12. Handicrafts -do- September 3, 2016
13. Me and my Family Family Life September 23, 2016
14. Family Outreach -do- September 24, 2016
15. Community Service Heritage & Citizenship September 16, 2016
16. Costume & Traditions -do- September 17, 2016
III. Camping Record Encampment Date Place
Troop : School Encampment Sept. 9-11, 2016 Tanjay City Science
High School
District : ____________________________ _______________ __________________
Council : 34th Council Junior, Senior, Sept. 22-25, 2016 Camp Lily I. Gamo,
& Cadet Encampment Sibulan, Neg. Or.
Regional: ____________________________ _______________ __________________
National: ____________________________ _______________ __________________
International: _________________________ _______________ __________________
IV. Chief Girl Scout Medal Orientation/Workshop
Date May 22, 2017 Place GSP Headquarters, Dumaguete City

Submitted by: JERICHA DALE V. ROSALES


Name of Candidate

Noted by: NIÑA MAE M. CAÑOLAS


Troop Leader

RAZZIL P. NOCETE
Council Executive

AIDA C. SAROMINES
Regional Executive Director

Attachments:
1. Troop Leader’s Endorsements
2. Parent’s Endorsements
3. Community Profile

Due EO August

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