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Application-Form-1-And-Form-1-A-2 (1) GSP Form

This document summarizes Maykylla Dimalaluan's application for the Chief Girl Scout Medal. It provides details of her Girl Scouting experience, badges earned, camping records, and the community service project. The project focused on building a purok center, improving drainage, and addressing garbage disposal in Purok 3, Lepaga Mlang, North Cotabato. The application includes endorsements from her troop leader and council executive.
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0% found this document useful (0 votes)
186 views

Application-Form-1-And-Form-1-A-2 (1) GSP Form

This document summarizes Maykylla Dimalaluan's application for the Chief Girl Scout Medal. It provides details of her Girl Scouting experience, badges earned, camping records, and the community service project. The project focused on building a purok center, improving drainage, and addressing garbage disposal in Purok 3, Lepaga Mlang, North Cotabato. The application includes endorsements from her troop leader and council executive.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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GIRL SCOUT OF THE PHILIPPINES

NATIONAL HEADQUARTERS
Manila

CHIEF GIRL SCOUT MEDAL SCHEME


NAME MAYKYLLA
FAMILY NAME DIMALALUAN
MIDDLE INITIAL P.
REGION WESTERN MINDANAO REGION
COUNCIL NORTH COTABATO
TROOP NUMBER 91-SENIOR
TROOP NAME MUHS–GSP
TROOP LEADER CHERRY ANN D. DUNGANON
ASST. TROOP LEADER RHEA JANE R. PALMES
MR. JEFFRY S. DIMALALUAN
PARENTS
MRS. MARICEL P. DIMALALUAN
PROJECT ECOLOGY √
LIVELIHOOD
HEALTH
CULTURAL
HERITAGE
PROJECT STARTED July 2020
PROJECT SITE Purok 3 Lepaga Mlang Cotabato
DAZZLE MEEK D. VERTOSO
TRIXIE G. GENTICA
WORKGROUP
MARIELLE P. PEDROSO
JOANNA MAE N. TINGUHA
CHILDREN
NO.OF BENEFICIARIES FAMILIES
OTHERS

SUBMITTED BY:

__MAYKYLLA P.DIMALALUAN
Candidate

ENDORSED BY:

NIMPHA L. SILVANO
Council Executive

NOTED BY:

RIZALINA D. ALEMANIA
Regional Executive Director
GIRL SCOUT OF THE PHILIPPINES
NATIONAL HEADQUARTERS
Manila

CHIEF GIRL SCOUT MEDAL SCHEME


NAME MAYKYLLA
FAMILY NAME DIMALALUAN
MIDDLE INITIAL P.
REGION WESTERN MINDANAO REGION
COUNCIL NORTH COTABATO
TROOP NUMBER 91-SENIOR
TROOP NAME MUHS–GSP
TROOP LEADER CHERRY ANN D. DUNGANON
ASST. TROOP LEADER RHEA JANE R. PALMES
MR. JEFFRY S. DIMALALUAN
PARENTS
MRS. MARICEL P. DIMALALUAN
PROJECT ECOLOGY √
LIVELIHOOD
HEALTH
CULTURAL
HERITAGE
PROJECT STARTED July 2020
PROJECT SITE Purok 3 Lepaga Mlang Cotabato
DAZZLE MEEK D. VERTOSO
TRIXIE G. GENTICA
WORKGROUP
MARIELLE P. PEDROSO
JOANNA MAE N. TINGUHA
CHILDREN
NO.OF BENEFICIARIES FAMILIES
OTHERS

Summary of the Project to show the different stages of the project implementation:

Pre-planning:

SEE ATTACHMENTS
Planning:

SEE ATTACHMENTS
Implementation:

SEE ATTACHMENTS
Turning over of projects to the community leaders:

SEE ATTACHMENTS
Evaluation:

SEE ATTACHMENTS
Preparation of reports:

SEE ATTACHMENTS
Personal experience/s significant contributions to the community and the lessons learned in carrying
out the project:

SEE ATTACHMENTS

SUBMITTED BY:

MAYKYLLA P. DIMALALUAN
Candidate

ENDORSED BY:

NIMPHA L. SILVANO
Council Executive

NOTED BY:

RIZALINA D. ALEMANIA
Regional Executive Director
GIRL SCOUTS OF THE PHILIPPINES
National Headquarters
Manila
CGSMS Form No. 1
CHIEF GIRL SCOUT MEDAL SHEME
APPLICATION FORM

Name : MAYKYLLA P. DIMALALUAN


Address :LEPAGA MLANG COTABATO
Telephone No. : O9096629538_______ Troop No.: _91-SENIOR__
Region : WESTERN MINDANAO REGION Council: NORTH COTABATO
Troop Leader : _CHERRY ANN D. DUNGANON
Parents :JEFFRY S. DIMALALUAN & MARICEL P. DIMALALUAN__
Occupation : _ FARMERS
Registration Dates : JULY 15 2020
Three (3) Years of Girl Scouting Experience
 STAR SCOUT
 JUNIOR SCOUT
 SENIOR SCOUT
Badgework
Badges Earned Challenge Dates Earned
1. Relating with Others
2. I am Thankful Badge
3. Family Outreach Badge
4. Family Adventure Badge
5. Outdoor Adventure Badge
6. Outdoor Cook Badge
7. Cooked Food Badge
8. Candle Making Badge
9. Being Prepared At Home Badge
10. Earthquake Preparedness Badge
11. Proud to be a Filipino Badge
12. Community Service Badge
13. Musical Instrument Applreciation Badge
14. I Love Visual Arts Badge
15. Travelers Badge
16. Harmony in Diversity Badge
Camping Record
Encampment Date Place

Troop : PLCPC Nov.24−26 2019


Council : 40TH COUNCIL CAMP Nov.9−13
Regional :
National :
International :

Chief Girl Scout Medal Orientation/Workshop


Date July 13, 2018 Place MARIANO UNTAL HIGH SCHOOL

Noted by:
Attachments: CHERRY ANN D. DUNGANON
1. Troop Leader’s Endorsements Troop Leader
2. Parent’s Endorsements
3. Community Survey NIMPHA L. SILVANO
Council Executive

Date:
COMMUNITY PROFILE CGSMS FORM No. 1-A
1) Name of Purok/Zone: Purok 3 ______ Population:_________
2) Barangay: Lepaga _ Municipality/Province/City: MLANG, NORTH COTABATO
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 gardens : __________________________ __________
Vegetable gardens : __________________________ _
Poultry : __________________ _____ __________
Piggery : ___________ _____________ _
Others (specify) : ____ ______________________
6) No. of school/s 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 center, others (specify) in the
purok/zone: ____________________
11) Means of transportation available in the purok/zone: _____________________
12) Recreational facilities available in the purok/zone:
13) Means of livelihood/occupation/employment of the people in the purok/zone: _____
14) Educational attainment of the: (Indicate number)
Men (Elementary, High School) __ _____
Women (Elementary, High School) ____
15) No. of school children of age (6 yrs.-21 yrs.)
In school_ _________________________________________________________
Out-of-school__ ____________________________________________________
16) General condition of:
Roads : ____ _____________________
Drainage : _________________________________________
Park/plaza : ___ _________________________________ _
Trees and other plants : ________________________________________
Playground for children : _ ______________________________________
Market : _
Garbage disposal : ______ _________________________________
17) Person/s interviewed: ___________________
18) Identified three (3) Community Problem/Needs:
a) PUROK CENTER AND BEAUTIFICATION
b) DRAINAGE
c) GARBAGE DISPOSAL
Noted:

CHERRY ANN D. DUNGANON Submitted By:


Troop Leader
_MAYKYLLA P. DIMALALUAN
NIMPHA L. SILVANO Chief Girl Scout Medal Candidate
Council Executive
________Aug.23,2020__________
RIZALINA D. ALEMANIA Date/s of Survey
Regional Executive Director

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