CGSMS Forms

7/25/2019 CGSMS Forms

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Girl Scouts of the PhilippinesNORTHERN LUZON REGION

ILOCOS NORTE-LAOAG COUNCIL

CHIEF GIRL SCOUT MEDAL SCHEME

First Name:MAUREEN JOY Family Name:ESPIRITU MI:C.

Troop Number: Troop Leader: JOLLY MAR T. MANGILAYA

School: DUMALNEG NATIONAL HIGH SCHOOL Parents: MR. & MRS. JUNALD ESPIRITU

Project:

Ecology

Livelihood

Health

Cultural Heritage

Date of Project Started

Project SiteWorkgroup

No. of Beneficiaries

Children

Families

Others

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

Pre-planning:

Planning:

Implementation:

Turning over of projects to the community leaders:

Evaluation:

Preparation of reports:

Personal experience/s, significant contributions to the community and the lessons learned in carrying

out the project:

Submitted by:

MAUREEN JOY C. ESPIRITU

Candidate

Noted by:

JOLLY MAR T. MANGILAYA

Troop Leader

MARINA M. REYNON

Council Executive


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LAILA F. MORALES

Regional Executive Director

Girl Scouts of the PhilippinesNORTHERN LUZON REGION

ILOCOS NORTE-LAOAG COUNCIL


Monthly Project Report

Name MAUREEN JOY C. ESPIRITU

Project CONSTRUCTION OF VEGETABLE GARDEN AT SITIO LAGUERTA, SAN ISIDRO,

DUMALNEG, ILOCOS NORTE

Troop No.

Troop Leader MISS JOLLY MAR T. MANGILAYA

Year Month Accomplishment Remarks

2015

July

August

September

October

November

December

2016 January


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February

March

April

May

June


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GIRL SCOUTS OF THE PHILIPPINES

NORTHERN LUZON REGION

ILOCOS NORTE LAOAG COUNCIL

CGSMS Form No. 1


APPLICATION FORM

I. PERSONAL INFORMATION

Name :MAUREEN JOY C. ESPIRITU____________________________________________________

Address : SAN ISIDRO, DUMALNEG, ILOCOS NORTE________________________________________

Contact No. : 09996783924_________________ Troop No.________________________________

Troop Leader : Ms. JOLLY MAR T. MANGILAYA____________________________________

Parents : Mr. JUNALD ESPIRITU Occupation : Farming__________

Mrs. MARLYN ESPIRITU Occupation : Housekeeping_____

Registration Date: September 26, 2013 August 30, 2014 August 15, 2015

Three (3) Years of Girl Scouting Experiences:

Inter-troop Camps______________________________________________________

Thinking Day Celebrations______________________________________________

Senior Saranay Camps__________________________________________________

Regional Encampments_________________________________________________

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

Badges Earned Challenge Date Earned

1.Money Management Challenge of Economic Self-Sufficiency November 2013

2.Handicrafts Challenge of Economic Self-Sufficiency October 2012

3.Eco Good Turns Challenge of the Environment October 2013

4.Recycling Challenge of the Environment October 2012

5.Public Safety Challenge of Preparedness October 2013

6.Personal Safety Challenge of Preparedness November 2013

7. Customs and Traditions Challenge of Heritage and Citizenship October 2012

8.Chronicler Challenge of Heritage and Citizenship September 2012

9.Terpsichorean Challenge of the Arts September 2012

10.Performing Arts Challenge of the Arts October 2013

11.Friendship Challenge of Spirituality and Well-Being November 2013

12.A Look at Myself Challenge of Spirituality and Well-Being September 2012

13.Me and My Family Challenge of Family Life October 2013

14.Family Links Challenge of Family Life September 2013

15.Harmony in Diversity Challenge of World Community November 2013

16.Twinning Challenge of World Community September 2012

III. CAMPING RECORD

Encampment Date Place

Troop Inter-Troop Camp November 06-08, 2014 Bangui NHS

Council Seniors Saranay November 14-16, 2014 D&D by the Sea

Regional Regional Encampment December 04-07, 2014 Subic, Zambales

IV. CHIEF GIRL SCOUT SCHEME ORIENTATION/WORKSHOP

Date: July 25, 2015 Place: Council Headquarters

Submitted by:

MAUREEN JOY C. ESPIRITU

Candidate


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Establish linkages with the community folks and people that could be of help in the

realization of the project.

Carry out planned activities recorded in the time table.

4.4 Time Table

Month Activities

July Take a council orientation on the scheme.

Conduct a survey on the needs/problems of the community.

August

Collect further information on the identified needs of the community through visits,interviews, and consultations with community leaders and other residents.

Start designing plan of action.

Attend barangay meetings and sessions for further discussions regarding the project.

September

Identify the government agencies or NGOs to network with.

Finalize plan of action (objectives and time table).

Discuss project proposal with the different groups which could support in the making of

the project.

Read about topics on putting up a vegetable garden and vegetable production.

October

Take up a skill which could be of help in the chosen project.

Undertake spiritual counseling.

Start distributing solicitation letters.

November

Start preparing the area for the propagation and planting period.

Continue distributing solicitation letters.

Conduct weekly clean-up drives.

December

Conduct weekly clean-up drives.

Carry on the distribution of solicitation letters.

Work on ways on how to further cultivate and improve the area for planting.

Dig holes to be used for composting.

January-March

Plant prepared seeds and cuttings.

Cultivate the planted vegetables.

Maintain cleanliness of the area.

April-June

Sustain the cleanliness of the area.

Further cultivate the plants.

Turn-over the project to the community.

4.5 Budget

I. Expected Income : PhP 6000.00

II. Estimated Expenses : PhP 6000.00

Seeds and Cuttings PhP 3000.00

Organic fertilizer PhP 1000.00Insecticide PhP 1000.00

Snacks PhP 1000.00

TOTAL PhP 6000.00

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)

5.1Hon. Lairvee G. Espiritu

5.2Hon. Francis R. Espiritu Jr.

5.3Brgy. Capt. Oscar Agreda, Jr.

5.4Kag. Romualdo Balalio

5.5Kag. Jerry Balalio5.6Kag. Wilson Cascayan

5.7Kag. Freddie Suniga

5.8Kag. Rogelio Balalio, Jr.

5.9Kag. Roland Soriano

5.10 Kag. Benjamin Suniga

5.11 Mr. Gerardo Botulan

5.12 Dr. Rizalde Acosta

5.13 Mr. Wilfredo Nonesa

5.14 Mr. Victor Dabalos


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6. Names of Work Group (Prospective CGSMS candidates but not those working already) SKs and other adults

6.1 Sr. Sct. Rebecca Agpaoa

6.2 Sr. Sct. Jellie Ann Miguel

6.3 Sr. Sct. Febie Alfonso

6.4 Sr. Sct. Charymelle Domingo

6.5 Sr. Sct. Angelica Sapngad

6.6 Sr. Sct. Feona Corina Agoo

6.7 Sr. Sct. Shyne Alyssa Maruquin

6.8 Sr. Sct. Charelle Domingo

6.9 Sr. Sct. Arian Klei Suniga

6.10 Sr. Sct. Regine Guerrero

6.11 Sr. Sct. Ronalyn Espartero

6.12 Sr. Sct. Rosel Ann Dalere

6.13 Sr. Sct. Dezyre Jenwynne Aguinaldo

6.14 Sr. Sct. Jessica Suniga

6.15 Sr. Sct. Crizzia Mae Suniga

6.16 Sr. Sct. Jenjay Dalere

6.17 Mr. Alden Suniga

6.18 Mr. Modesto Rivera

6.19 Mr. Michael Subia

6.20 Mr. Jerold Suniga

6.21 Mr. Abelino Nieto

6.22 Mr. Juanito Domingo


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7. References (Attach list of titles/topics related to the Project (at least 3)

8. Name of Book Topic/Title Read

9. 7.1 Agricultural Crops Production Land Preparation on Vegetable Production

10. 7.2 Technology and Livelihood Education Planting and Fertilizer Application

11. 7.3 Vegetable Production Guide for Commercial Growers General Production Considerations

12. From your readings in No. 7, how did you apply the learnings or insights gained in your project?

13. From the readings I had, I applied the learnings and insights I gained through incorporating

them in designing my time table and planning for the appropriate activities (propagation, fertilizerapplication, etc.) which I will be doing every month.

14.

15. Submitted by:

16.

17. MAUREEN JOY C. ESPIRITU

18. Candidate

19.

20. Noted by:

21. September 26, 2015

22. JOLLY MAR T. MANGILAYA

23. Troop Leader

24.

25. MARINA M. REYNON

26. Council Executive

27.

28.

29. LAILA F. MORALES

30. Regional Executive Director

31.GIRL SCOUTS OF THE PHILIPPINES

32.NATIONAL HEADQUARTERS

33.MANILA

34.

35.CGSMS Form No. 3

36.

37.CHIEF GIRL SCOUT MEDAL SCHEME

38.

39.

40.

41.

42. Name :MAUREEN JOY C. ESPIRITU____________________________________________________

43. Council : Ilocos Norte-Laoag________________Region : Northern Luzon44. Troop No. : _________________________________ Troop Leader : Jolly Mar T. Mangilaya___________

45.

1. Self-Developmental Skills Acquired and Practiced

46.

1.1Plant Propagation

47. I developed my skill in determining which propagating techniques are effective and suitable

for vegetables such as okra, taro, squash, onion, malunggay, papaya, and others which we will be

planting on the garden.

1.2Gardening

48. Putting up a vegetable garden requires a skill on gardening. I learned the ways ondetermining which kind of soil is right for which kind of vegetable, applying plastic mulch on plant beds,

cultivating plants for them to grow healthy and preparing organic pesticides and fertilizers.

1.3Computer Work

49. This project also demands a skill on manipulating the computer. I harnessed my skill in

working on different computer applications such as Microsoft Word, Microsoft Excel, Microsoft

PowerPoint, and Microsoft Paint for the preparation of my forms and communications, budget,

presentations and garden lay-out. I also learned more on information gathering through searching the

Internet and other sources for my project.


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50.

2. Spiritual Readings

51.

2.1Luke 6:31

52. Do to others as you would have them do to you.

53. A girl scout is helpful.It is my sworn duty as a girl scout to render service to the community

without expecting anything in return. After identifying the 3 most pressing needs of my folks, I felt the

strong desire to be of help to them in the simplest but best way I can.54.

2.2 Psalm 133:1

55. Behold, how good and how pleasant it is for brethren to dwell together in unity.

56. Undertaking the Chief Girl Scout Medal Scheme Project (CGSMSP) is never considered as a

walk in the park. Lots of things are needed to be accomplished on time. But I am confident that the

project will be realized with the help of my community folks and with the unending support of my

parents, the Local Government Unit of Dumalneg, Barangay and Purok Councils and other stakeholders.

57.

2.3 Proverbs 3: 25-26

58. Have no fear of sudden disaster or of the ruin that overtakes the wicked, for the Lord will be

at your side and will keep your foot from being snared.

59. In undertaking this project, I learned to be optimistic at all times. Whatever unexpected

situations and challenges I may encounter in undergoing my project, there will be no place for fear

because I know that God will guide my steps along the way.

60.

2.4 Colossians 3:23

61. Whatever you do, work at it with all your heart, as working for the Lord, not for human

masters.

62. Working on my project entails sincerity and dedication. Even at a very young, I know that I

can instigate positive change in my community. I therefore commit myself in catering the need of the

community for a garden as a free source of healthy and fresh vegetables. All glory and honor will be

given back to the Lord because He is the source of everything.

63.

2.5 Proverbs 10:4

64. Lazy hands make for poverty, but diligent hands bring wealth.

65. Community service, as the battlecry of the GSP Movement, is a test of effective networking,

leadership, perseverance, and industry. As a CGSMS Candidate, I diligently work on the requirements of

my project like forms, letters, networking strategies and in the actual preparation of the vegetable

garden.

66.

67.68.

69.

3. Spiritual Adviser/s

70.

71. Name 72. Date of Counseling

73. Pstr. Manolito dela Vega 74. October 18, 2015

75. Pstr. Imelda dela Vega 76. October 18, 2015

77. Pstr. Marjoe dela Vega 78. October 18, 2015

79.

4. Networking4.1The Great Christian Mission

4.2 Local Government Unit of Dumalneg

4.3 Barangay Council

4.4 Purok Council

80.

81.

82.

83.


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84.

85.

86.

87. Submitted by:

88.


90. Candidate

91.92. Noted by:

93. October 24, 2015


95. Troop Leader

96.

97.



100.

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104.

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131.132.

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136.

137.

138.

139. GIRL SCOUTS OF THE PHILIPPINES


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140. NATIONAL HEADQUARTERS

141. MANILA

142.

143. CGSMS Form No. 4

144.

145. CHIEF GIRL SCOUT MEDAL SCHEME

146.

147.148.

149.


151. Council : Ilocos Norte-Laoag________________Region : Northern Luzon

152. Troop No. : Troop Leader : Jolly Mar T. Mangilaya___________

153.

1. MONTHLY REPORTS

154.

155. Work Done 156. Dates 157. Activities Undertaken 158. Persons Involved

159. 160. 161. 162.163. 164. 165. 166.

167. 168. 169. 170.

171. 172. 173. 174.

175. 176. 177. 178.

179. 180. 181. 182.

183. 184. 185. 186.

187. 188. 189. 190.

191. 192. 193. 194.

195. 196. 197. 198.

199. 200. 201. 202.

203. 204. 205. 206.

207. 208. 209. 210.

211. 212. 213. 214.

215. 216. 217. 218.

219. 220. 221. 222.

223. 224. 225. 226.

227. 228. 229. 230.

231. 232. 233. 234.

235. 236. 237. 238.

239. 240. 241. 242.

243. 244. 245. 246.

247. 248. 249. 250.

251. 252. 253. 254.

255. 256. 257. 258.

259. 260. 261. 262.

263. 264. 265. 266.

267. 268. 269. 270.

271. 272. 273. 274.

275. 276. 277. 278.

279. 280. 281. 282.

283. 284. 285. 286.

287. 288. 289. 290.

291. 292. 293. 294.

295. 296. 297. 298.

299.

2. MEETINGS

300.


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301. Meetings With 302. Dates of Meeting 303. Results

304. Purok Leader 305. 306.

307. 308. 309.

310. Work Group with Troop Leader311. 312.

313. 314. 315.

316. Monitoring Panel 317. 318.

319. 320. 321.

322. Others 323. 324.

325. 326. 327.

328.

329.

330.

331.

3. DATE OF VISITS OF THE MONITORING PANEL

4. OBSERVATIONS OF THE MONITORING PANEL

332.

333.

334. Submitted by:

335.


337. Candidate

338.

339. Noted by:

340. June 25, 2015


342. Troop Leader

343.

344.



347.

348.



351.

352.

353.

354.

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380.381.

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403. MANILA

404.


406.

407. CHIEF GIRL SCOUT MEDAL SCHEME

408.

409.

410.

411.


413. Council : Ilocos Norte-Laoag

________________Region : Northern Luzon


415.

1.Summary of the Project

1.1Narrative Report of Accomplishment

1.2Effects on the

1.2.1 Community

1.2.2 Candidate

2.Turnover Ceremony

416. Place :

417. Date :

3.List of Persons Recognized/Appreciated Assistance Received

4.Plans for Sustaining the Project

418.

419.

420.


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421.

422.

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428.429.

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441.

442.

443.

444.

445.

446.

447. Submitted by:

448.


450. Candidate

451.

452. Noted by:

453. June 25, 2015


455. Troop Leader

456.

457.

458. MARINA M. REYNON459. Council Executive

460.

461.





466. MANILA

467.

468. CGSMS Form No. 6469.

470.

471.

472.

473.

474.

475.




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477. Council : Ilocos Norte-Laoag________________Region : Northern Luzon


479. Area of Work : HEALTH________________________ Period Covered : July 2015 June 2016___________

480.

481. CRITERIA FOR EVALUATION

I. Personal Attributes (30%) 482. RATING

483. Adequate progress and growth in:

a)Spiritual and Physical Healthb)Integrity

c)Sense of Responsibility

d)Perseverance, Effort Determination

e)Manners and Decorum

f) Knowledge and Skills

g)Poise and Grooming

484.

485.

486.


488. Name and Signature of Troop Leader

II. Performance (40%) 489.

a) Leadership Abilities

490. -planning

491. -organizing

b) Implementation

492. -follow through of plans

493. -networking

494. -use of resources

c) Documentation

495. -completeness of records (neatness, organization and presentation of

thoughts, presence of required documents

496.

III. The Project (30%) 497.

a) Community Involvement

b) Effect on:

498. -the community

499. -the candidate

c) Sustainability

500.

501.

502. TOTAL

503.

504.

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

506.

507.

508. Evaluated by:

509.

510. ________________________________

511. ________________________________

512.

513. Noted:

514.

515. LAILA F. MORALES516. Regional Executive Director

517.

518.

519.

520.

521.

522.

523.


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524.



527. MANILA

528.


530.

531.532.

533.

534.

535.

536.


538. Council : Ilocos Norte-Laoag

________________Region : Northern Luzon


540. Area of Work : HEALTH________________________

541.

542.

543. NAME OF

EVALUATOR

544.

545.

546. POSITION

547.

548. SIGNATURE

549.

550. RATING

551. 1.

552.

553.

554.

555. 556.

557. 2.

558.

559.

560.

561. 562.

563. 3. VICTORIA M. L

ADIA

564.

565. Commissioner on

Program

566.

567. 568.

569. 4. MARINA M. REYNON

570.


572.

573. 574.

575. 5.

576.

577. Regional

Representative

578.

579. 580.

581.

582. AVERAGE

583.

584.

585.

586.

587. Prepared by:

588.

589. ________________________________

590. ________________________________

591.592. Noted:

593.



596.


Documents

CGSMS Forms