CGSMS Form No.

1-A

COMMUNITY PROFILE

Name of Purok/Zone: 9 Population:973

Barangay: SULIT Municipality/Province:Polomolok,South Cotabato

No. of families in the purok: 330 No. Interviewed:1 No. of Houses:321

No. of houses with light materials:34 Concrete:
No. of houses with:
Toilets:298 Flower Garde;0
Electricity:286 Vegetable Garden: 210
Running Water: 321 Poultry:0
Artesian Well:0 Piggery:2
Others (specify):
No. of Schools in the purok/zone: 0
No. of church/chapel in the purok/zone: 4
Government offices located in the purok: 0
No. of hospital/clinic in the purok/zone: 0
Community Centers available like daycare, reading, health, others (specify in thepurok/zone):1
Means of transportation available in the purok/zone: none
Recreational facilities available in the purok/zone: none
Means of livelihood/occupations/employment of the people in the purok/zone:
Laborers/Self- Employed/Employed/Tricycle Drivers/ Farmers
Educational Attainment of the: (Indicate Number)
Men (Elementary, High School) Elementary – 28 High School – 18
Women (Elementary, High School) Elementary – 30 High School – 39
No. of school children of school age (6 yrs. – 21 yrs.):
In School:182
Out of School:
General Conditions of:
Roads:Rough Road Playground for children: None
Drainage: Open Drainage Market: None
Park/Plaza: Good Garbage Disposal: Collection point
Trees and Other Plants: Not so good Person/s Interviewed:Rosie Apolonio

Identified Three (3) Community Problem/Needs:

1. Improper waste segregation
2. Malnutrition
3. Not Concrete Road

ANNA Q. PINEDA

Chief Girl Scout Aspirant

December 5, 2021
Date/s of Survey

Noted by:
KAYE JANE Q. TALINGTING
Troop Leader

GIRL SCOUTS OF THE PHILIPPINES

Eastern Mindanao Region
South Cotabato Council
Sarangani Division

(Date due on December)

ENGR. RUSSELL R. FIN

Council Executive
GSP South Cotabato Council
Koronadal City

Madam:

We, Mr. RICARDO J. PINEDA and Mrs. ANNABELLE Q. PINEDA, whole heartedly endorse
our daughter, ANNA Q. PINEDA to be a Chief Girl Scout Medal Scheme (CGSMS) Candidate.
She has proven her leadership capacity and willingness to render social service. We are willing
to support her for the success of her proposed project in Purok 9, Sulit.

Thank you and more power.

Very truly yours,

(Signature of your father)

RICARDO J. PINEDA
Father

(Signature of your mother)

ANNABELLE Q. PINEDA
Mother
 GIRL SCOUTS OF THE PHILIPPINES
Eastern Mindanao Region
South Cotabato Council
Sarangani Division

(Date- due on December)

ENGR. RUSSELL R. FIN

Council Executive
GSP South Cotabato Council
Koronadal City

Madam:

(Content of the letter that your Troop Leader is endorsing you to work with the Scheme.)

Thank you.

Very truly yours,

(Signature of the Troop Leader)

KAYE JANE Q. TALINGTING
Troop Leader
 GIRL SCOUTS OF THE PHILIPPINES
National Headquarters
Manila

CGSMS Form No. 1

CHIEF GIRL SCOUT MEDAL

SCHEME

Personal Information

Name :Anna Quiatchon Pinedas

Address :Purok 4,brgy sulit polomolok
Telephone No. : 09055835315 Troop No.:

Region : 12 Council:South Cotabato

Troop Leader : Kaye jane Quiatchon Talingting

Parents :Ricardo J. Pineda

Occupation : Purok 4,brgy sulit
Registration Dates : Three (3) Years of Girl Scouting Experience

Star Scout
Junior Scout
Senior Scout

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

Badges Earned Challenge Dates Earned

Needlework Production Economic Self-Sufficient Nov.16-18 2018

Dramatic Performer Well-being Nov.16-18 2018
Earthquake Preparedness Preparedness Nov.16-18 2018
Ecologist Badge The environment Nov.16-18 2018
A Look at Myself Economic Self-Sufficient Nov.16-18 2018

Camping Record
Encampment Date Place
Troop : GSP School camp October18, 2019 BSNHS
District : Municipalwide Emcampment Dec.6-Dec.8 2019 DCES
Council : Councilwide Online camp Nov. 26-28 2021 Virtual
Regional ;
National :
Chief Girl Scout Medal Orientation/Workshop: October 28, 2021 via Zoom
 Submitted by:

Signature
ANNA Q. PINEDA
Name of Candidate

Noted by:

Signature
KAYE JANE Q. TALINGTING

Troop Leader

ENGR. RUSSEL R. FIN

Council Executive

MALLET T. ARABO
Regional Executive Director

Attachments:
Troop Leader’s Endorsements
Parent’s Endorsements
Community Profile

Due EO December