GIRL SCOUTS OF THE PHILIPPINES

National Headquarters
Manila

CHIEF GIRL SCOUT MEDAL SCHEME

APPLICATION FORM
CGSMS FORM NO.1

I. PERSONAL INFORMATION
Name: JENELEN O. CANAVERAS
Address: P-5, National High Way, Brgy.POGTUD ALEGRIA Surigao del Norte
Mobile/Tel No.: 09507561180 Troop No: 26
Region: Eastern Mindanao Region Council: Surigao del Norte
Troop Leader: Mrs. Chosel S. Paguican
Parents: NELSON CANAVERAS & JEMMA CANAVERAS
Occupation: Farmer & Housewife
Registration Dates:
Three (3) Years of Girl Scouting Experience
A registered Star Scout, Junior Girl Scout and (Magpayang Elementary School) and
Senior Girl Scout, (Magpayang National High School) for past 11 years.

II. BADGEWORK
Badges Earned Challenge Dates Earned
1. Recycling Badge Challenge of Environment November 2016
2. Home Safety Badge Challenge of Family Life November 2016
3. GSP and WAGGGS Surfer Challenge of World Community November 2016
Badge
4. This is Me Badge Challenge of Spirituality and Well Being November 2017
5. Filipino Song and Dance Challenge of Heritage and Citizenship November 2017
Badge
6. Proud to be a Filipino Challenge of Heritage and Citizenship November 2015
Badge
7. Public Safety Badge Challenge of Preparedness December 2017

8. Handcraft Badge Challenge of Arts November 2015

9. My Family and I Badge Challenge of Family Life October 2017

10. Outdoor Adventure Badge Challenge of Environment November 2015

11. Music Appreciation Badge Challenge of Arts December 2017

12. Friendship Badge Challenge of Spirituality and Well November 2015

Being
13. Dramatic Performer Challenge of Arts December 2017

14. Growing Up Badge Challenge of Spirituality and Well November 2015

Being
15. Leadership Building Challenge of Spirituality and Well November 2015
Badge Being
16. Links of Unity Badge Challenge of World Community December 2017
III. CAMPING RECORD
Encampment Date Place
st November 9-11,2015 Claver ,Surigao del Norte
31 Provincial Encampment
November 18-20 ,2016 Gigaquit ,Surigao del Norte
Council 32nd Provincial Encampment Timamana , Tubod ,Surigao del
November 16-19,2017
1st GSP Camp Norte

IV. CHIEF GIRL SCOUT MEDAL ORIENTATION/WORKSHOP

Date : July 14, 2018 Place: Surigao del Norte Council,
Brgy. Togbongon, Surigao City

Submitted by:

JENELEN O. CANAVERAS
Candidate

Noted by: CHOSEL S. PAGUICAN

Troop Leader

ANNIE M. ESTAÑO
Council Executive

MALLET T. AROBO
Regional Executive Director
Eastern Mindanao Region