Request for Gold Award Change

This form is to request a change in some aspect of my Girl Scout Gold Award project as outlined in my project plan and approved in my contract. Changes can not be requested after you have done them! The last date this form can be submitted is two weeks prior to the project due date.

Briefly describe the proposed change(s) and the necessity for change(s).*
If needed, list the new advisor, consultant, and/or resource that will help you complete your project. If you are adding an advisor, you will also need to submit an additional advisor profile.
New Advisor Name:
First Last
New Advisor Phone:
New Advisor Email:
New Advisor Address:
Street Address City ZIP Code
Any and all changes to the Girl Scout Gold Award application must be submitted as soon as they occur. It is the applicant’s responsibility to contact her Gold Award Committee representative to discuss changes and get them approved. Changes must be approved before doing any additional work on the project.
Please chose your region:*
- North (Santa Clarita and Canoga Park)
- Southwest (Inglewood and Long Beach)
- Southeast (Arcadia and Upland)
Your Name:*
First Last
Phone Number:*
Email:*
Enter Email Confirm Email
Your Signature:*
Type your full name as your signature.
Project Advisor's Signature:*
Type your full name as your signature.
Troop Leader's Signature:*
Type your full name as your signature.
Captcha

GSGLA volunteer

GSGLA volunteer

Request for Gold Award Change