On My Own Teen Interest Project Patch Report

Troop #_____
Name____________________________________ Name of IPP _____________________________ IP Found on Page(s)_________ of IP Book or Online (circle)
MUST COMPLETE 6 ACTIVITIES PER IPP (Be prepared to share your badge work with the troop.) Activities completed: 1. (Build: Required Activity Or Skill Builder #
Troop Advisor Use Only Number of Activities Completed: ______ Each Activity Sufficiently Completed: ______ If not, what activity (ies) need(s) work? ______ Scout was prepared to share work: ______ Date Scout demonstrated her work: ____________ Scout met all requirements to earn this IPP: ______ This IPP counts toward another award: ______ If so, which one? _____________ Date IPP Awarded: ______________ Advisor Approval/Signature ______________________

Each activity must be initialed the adult supervising the activity

) __________________________________________

Dates activity was begun __________________and finished: __________________ Supervising Adult Initial______ This is what I did:

2. (Learn: Or Skill Builder #

) __________________________________________

Dates activity was begun __________________and finished: __________________ Supervising Adult Initial______ This is what I did:

3. (Do: or ___________ #

) __________________________________________

(Can be from any category other than the one the “Share” activity is from)

Dates activity was begun __________________and finished: __________________ Supervising Adult Initial______ This is what I did:

4. (Share: or ___________ #

) __________________________________________

(Can be from any category other than the one the “Do” activity is from)

Dates activity was begun __________________and finished: __________________ Supervising Adult Initial______ This is what I did:

video. This can be something you design totally on your own or adapt an activity you find in other sources. do. Attainable. considering the following: What interest you most about the topic? What would you like to learn.5. _______________________________________________ #3: Girl Scout Silver Career Award _____ Belong Believe Build ) #3: Girl Scout Gold Career Award _____ Belong Believe Build ) Supervising Adult: Scout has finished the requirements for this badge. or skit o Poem o Thank you note to someone who helped o Song/rap o Poster for your room o Drawing/painting/photograph o Your own creative idea Dates activity was begun __________________and finished: __________________ Supervising Adult Initial______ This is what I did: Does completing this IPP meet a requirement for another Teen Girl Scout Award? Choose only one. such as: o 1-2 paragraph description o Short movie. Measurable. (Design Your Own SMART Goal) __________________________________________ (SMART Goal is Specific. turn this form into your advisor for recording accomplishments. . and what you gained from your experience): 6. (Reflect) ___________________________________________________________ The activities for this Interest Project fit under what parts of the Girl Scout Promise and Law? What skills or understanding have you gained to help you apply the Girl Scout Promise and Law to your life? Prepare a short reflection that best expresses your experiences and personality. (Attach a separate sheet of paper if necessary. o o o o o o Write out the goal for Your Own activity. _______________________________________________ Signature Date Signature Date After completion. if applicable Girl Scout Silver Award: #2: Girl Scout Silver Leadership Award ( __ /3) #4: Girl Scout Silver 4Bs Challenge ( Become Girl Scout Gold Award: #2: Girl Scout Gold Leadership Award ( __ /3) #4: Girl Scout Gold 4Bs Challenge ( Become Girl Scout: I have finished the requirements for this badge. Your goal should meet Safety-Wise and Council Guidelines. Realistic. and share? What do you hope to accomplish? What do you hope to gain from the experience? How will you measure your success? List the steps you will take to achieve this goal.) Dates activity was begun __________________and finished: __________________ Supervising Adult Initial______ This is what I did (list goals set. Timely) Use your imagination and interest to guide you in designing an activity related to the IP topic. how they were met.

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