GIRL SCOUTS OF THE PHILIPPINES

NORTHERN LUZON REGION

CAGAYAN COUNCIL

LOGBOOK
for the

CHIEF GIRL SCOUTS MEDAL SCHEME

Project

GULAYAN SA BARANGAY

MA. FELIXIE CLAIRE

FALCASANTOS
Candidate

CAGAYAN NATIONAL HIGH SCHOOL

MRS. ROSARIO R. MARTIN

Troop Leader

LINDA P. TUNGCUL, Ph.,D

Principal
 TABLE OF CONTENTS

CGSMS FORM 1
a. Chief Girl Scout Medal Scheme Application Form
b. Endorsement Letters
c. Community Profile
d. Form 1-A Worksheet #1 Problem/Opportunity Analysis
e. Form 1-A Worksheet #2 Problem Design Checklist

CGSMS FORM 2
a. Project Description
b. Objectives
c. Methods
d. Action Plan
e. Financial Budget
f. Leanings Gained in the Research Work

CGSMS FORM 3
a. Spiritual Readings
b. Learnings on Spiritual Readings

CGSMS FORM 4
a. Minutes of the Meetings
b. Observations of the Monitoring Panel

CGSMS FORM 5
a. Narrative Report of Accomplishment
b. Effects on the Community and Candidate
c. Turn-Over Ceremony Programme
d. List of Persons Recognized
e. Plans for Sustaining the Project
f. Monthly Accomplishment of the Project
g. Problems Met and Solutions
h. Impressions
i. Pictorials

CGSMS FORM 6
a. Evaluation Forms
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

CHIEF GIRL SCOUT MEDAL SCHEME

NAME MA. FELIXIE CLAIRE
FAMILY NAME FALCASANTOS
MIDDLE INITIAL P.
REGION NORTHERN LUZON
COUNCIL CAGAYAN
TROOP NUMBER 012
TROOP NAME
TROOP LEADER MRS. ROSARIO MARTIN
PARENTS MR. & MRS. DANILO FALCASANTOS
PROJECT COMMUNAL GARDEN
ECOLOGY
LIVELIHOOD
HEALTH 
CULTURAL HERITAGE
DATE OF PROJECT STARTED July 2012
PROJECT SITE Cataggaman Nuevo
WORKGROUP Youth, Four Peace
NO. OF BENEFICIARIES CHILDREN 
FAMILIES 
OTHERS 
SUMMARY OF THE PROJECT TO SHOW THE DIFFERENT STAGES OF THE PROJECT
IMPLEMENTATION
PRE-PLANNING
PLANNING
IMPLEMENTATION
TURNING OVER OF THE PROJECT TO THE COMMUNITY
EVALUATION
PREPARATION OF REPORTS
PERSONAL EXPERIENCE/S SIGNIFICANT TO THE COMMUNITY AND THE LESSONS LEARNED IN
CARRYING OUT THE PROJECT:

SUBMITTED BY:
MRS. ROSARIO MARTIN
TROOP LEADER

ENDORSED BY:
HELENA C. TUNGCUL
COUNCIL EXECUTIVE
NOTED:
LAILA F. MORALES
REGIONAL EXECUTIVE DIRECTOR
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

THE CHIEF GIRL SCOUT MEDAL SCHEME

APPLICATION FORM

I. PERSONAL INFORMATION
Name ___ MA. FELIXIE CLAIRE P. FALCASANTOS
Address Brgy. Cataggaman Nuevo, Tuguegarao City, Cagayan
Mobile/Tel. No. Troop No. 012
Region NORTHERN LUZON Council CAGAYAN
Troop Leader MRS. ROSARIO MARTIN
Parents MR & MRS. DANILO FALCASANTOS
Occupation Soldier (Father), Accountant (Mother)
Registration Dates: ___________________________________________
3 Years of Girl Scouting Experience Star Scout
Junior Scout
Senior Scout
II. BADGEWORK (2 Badges for each of the 8 Point Challenge)
BADGES EARNED CHALLENGE DATE EARNED
Relating With Others Spirituality and Well Being June 2011
Leadership Building Spirituality and Well Being June 2011
Visual Arts Arts July 2011
Song Leader Arts July 2011
Recycling Environment August 2011
Outdoor Adventure Environment August 2011
Family Adventure Family Life September 2011
Family Outreach Family Life September 2011
Personal Safety Preparedness October 2011
Public Safety Preparedness October 2011
Customs and Traditions Heritage and Citizenship November 2011
Community Service Heritage and Citizenship November 2011
Plant Propagation Economic Self-Sufficiency December 2011
Cookery Economic Self-Sufficiency December 2011
Harmony in Diversity World Community August 2011
Traveller’s Badge World Community December 2011
III. CAMPING RECORD
ENCAMPMENT DATE PLACE
Troop Camp OCT. 2011 Cagayan National HS
School
Council January 25-29, 2012 Claveria, Cagayan
Regional December 2010 Camp John Hay, Baguio City
National

IV. CHIEF GIRL SCOUT MEDAL SCHEME ORIENTATION /WORKSHOP JULY 2012

Noted by: Rosario Martin Submitted by: MA. FELIXIE CLAIRE P. FALCASANTOS
Troop Leader Candidate

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
COMMUNITY PROFILE

1. Name of Purok/Zone _________________________ Population ______________

2. Barangay ____________________________ Municipality/Provincial/City: ______________________
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 Garden ____________________ Vegetable Garden _____________________
Poultry ________ Piggery ______________

6. No. of schools/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 centers, others (specify) in the
purok/zone ____________________________
11. Means of transportation available in the purok/zones ____________________________
12. Recreational facilities available in the purok./zone - ______________________________________________________
13. Means livelihood/occupation/employment of the people in the purok/zone –
_________________________________________________________________________________________________________________
14. Educational attainment of the (indicate number)

In school _____________________ Out of School _______________________

15. No. of school children of school age (6yrs. -21 yrs)

Men : Elementary _____ High school ______ Degree Holder _______

Women: Elementary _____ High school ______ Degree Holder _______

16. General condition of:

Roads : ________________________ Drainage : ______________________________

Park : ________________________ Plaza/trees & other plants : ________________
Market :_________________________ Garbage disposal : _________________________

17. Persons Interviewed

18. Identified three (3) community problem/needs

1 .____________________________
2. ____________________________
3. ____________________________
____________________________
CGSMS Candidate
Noted: ____________________________
Troop Leader
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA
CGSMS Form No. 2
CHIEF GIRL SCOUT MEDAL SCHEME
PHASE 1 REPORT due EO SEPTEMBER
Name: MA. FELIXIE CLAIRE P. FALCASANTOS
Mobile/Tel. No. Troop No. 012
Region: NORTHERN LUZON Council: CAGAYAN
Troop Leader :MRS. ROSARIO MARTIN
Target Community: Brgy. Cataggaman Nuevo, Tuguegarao City, Cagayan
1. From the community problems/needs surveyed, select only one most pressing as recommended by the
community for your project: ECOLOGY: Communal Garden-Gulayansa Barangay
2. Area of Work (one only): ECOLOGY
3. Badgework
RELATED BADGES EARNED DATE EARNED
BADGES EARNED CHALLENGE DATE EARNED
Relating With Others Spirituality and Well Being June 2012
Leadership Building Spirituality and Well Being June 2012
Visual Arts Arts July 2012
Song Leader Arts July 2012
Recycling Environment August 2012
Outdoor Adventure Environment August 2012
Family Adventure Family Life September 2012
Family Outreach Family Life September 2012
Personal Safety Preparedness October 2012
Public Safety Preparedness October 2012
Customs and Traditions Heritage and Citizenship November 2012
Community Service Heritage and Citizenship November 2012
Plant Propagation Economic Self-Sufficiency December 2012
Cookery Economic Self-Sufficiency December 2012
Harmony in Diversity World Community August 2012
Traveller’s Badge World Community December 2012
4. About the Project (use extra sheets)
4.1 Project Description (see attached) 4.4 Time Table (see attached)
4.2 Objectives (see attached) 4.5 Budget (see attached)
4.3 Methods (see attached)
5. Name of Consultants/beside the Troop Leaders (those who provide technical support to guide in objectives and
congruency to the objectives)
5.1Brgy. Capt. Napoleon Tamayao 5.3 Mrs. Linda P. Tungcul Ph.D
5.2Mr. And Mrs. Danilo Falcasantos 5.4 Mr. Salvador Tungcul
6. Name /s of Work Group (Prospective CGSMS candidates but not those working already) SKs and other adults.
6.1Brgy. Officials/ Staffs & Residents 6.3 CNHS Students and Friends
6.2 4-H Club 6.4 SK Officers and Members
7. References (attach list of titles/topics related too the project –at least 3)
7.1 Holy Bible Spiritual
7.2. Encyclopedia Leadership
7.3 Google Ecology
8. From the readings in no. 7 how did you apply the learning or insights gained in your project? (use extra
sheets/s) See attached copy

Noted by: Rosario Martin Submitted by: MA. FELIXIE CLAIRE P. FALCASANTOS
Troop Leader Candidate

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
Project Description

Objectives

Methodology

Time Table
 PROJECT EXPENDITURES:

A. EXPENDITURES
TRANSPORTATION OF SEEDLINGS ------------------------------ 2,500 PHP
PREPARATION OF LOGBOOK ------------------------------------ 500 PHP
PHOTO DEVELOPMENTS ----------------------------------------- 750 PHP
SNACKS ---------------------------------------------------------------- 1750 PHP

FINANCIAL STATEMENT

Name of the Project :________________________________

AREA OF WORK :____________________________
Address :____________________________
1. SOURCES OF FUNDS
Cash on Hand ____________________________
Solicitations
Donations
 2. Less: EXPENDITURES

ITEM DESCRIPTION QUANTITY UNIT COST

TRANSPORTATION
OF SEEDLINGS
PREPARATION OF
LOGBOOK
PHOTO
DEVELOPMENTS
SNACKS

Sub Total

3. TOTAL CASH BALANCE P - - - 0 - -

c.LIST OF DONORS
NAME AMOUNT

TOTAL P
LEARNINGS BASED ON THE RESEARCH TOPICS:

COMMUNICATION
 I learned that the appropriate use of varied communication techniques and
strategies to helped a lot in the accomplishment of various tasks to be done
with the project.
 I learned that smile promotes positive reactions when discussing with group of
individuals about the project.
 I learned that one could find more significant meaning in life when we can
communicate well due to lesser misunderstanding.

COMMUNITY DEVELOPMENT
 Implementing the Girl Scout program in the community helped me gain a
strong determination to succeed.
 I learned that introducing a community project to the people gave me the
chance to win friends and become a model.
 I learned that self-discipline is needed to attain my goal.

HUMAN RELATION
 I learned that it is nicer to call people by their name. They respond with good
mood immediately.
 I learned that creating humorous words helps me finish my project.
Being courteous to people helps me finish my project.
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

CGSMS Form No. 3

CHIEF GIRL SCOUT MEDAL SCHEME

PHASE 2 REPORT due EO October

Name: MA. FELIXIE CLAIRE P. FALCASANTOS

Council: CAGAYAN Region :NORTHERN LUZON
Troop No.012 Troop Leader: MRS. ROSARIO MARTIN

1. Self-Development Skills Acquired and Practiced (at least 3 useful skills)

1. Leadership Ability
2. Obedience
3. Human Relationship
2. Spiritual Readings (How did you apply the learnings gained from your spiritual readings in your
project? At least 5) (Attached Copies)

3. Spiritual Advisers/s
Name/s Dates of Counseling
Linda P. Tungcul November 2012
Mila P. Falcasantos October 2012
4. Networking (list the name of Agencies/Organizations networked with)
Barangay Officials Barangay Healthworkers
SangguniangKabataan Barangay Tanods
4-H Club CNHS Students
GSP BSP

Submitted by:

MA. FELIXIE CLAIRE P. FALCASNTOS

Candidate

Noted by: ROSARIO MARTIN

Troop Leader

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

CGSMS Form No. 4

CHIEF GIRL SCOUT MEDAL SCHEME

PHASE 3 IMPLEMENTATION REPORT due EO June

Name: MA. FELIXIE CLAIRE P. FALCASANTOS

Council: CAGAYAN Region :NORTHERN LUZON
Troop No. 012 Troop Leader: MRS. ROSARIO MARTIN

1. Work Done Dates Activities Undertaken Persons Involved

(use separate sheets)
_____________________________Attached Copies_________________________________
_____________________________Attached Copies_________________________________

2. Meetings with Date of Meeting Results of Meeting

* Purok Leader 1. September 2012 Preparation of the Project Plan
* Work Group 2. November 2012 Schedule of Community Service
*Troop Leader 3. Every Weekends Work Schedules

Others (specify)

3. Date of Visits of the Monitoring Panel

3.1 Council Staffs – February 2013

3.2 _________________________________

4. Observations of the Monitoring Panel (attach copies of observations)

___________________________Attached Copies____________________

Submitted by:

MA. FELIXIE CLAIRE P. FALCASNTOS

Candidate

Noted by: ROSARIO MARTIN

Troop Leader

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
OBSERVATION OF THE MONITORING PANELS

TROOP LEADER:

BARANGAY OFFICIALS

COUNCIL HEADQUARTERS:
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

CGSMS Form No. 5

CHIEF GIRL SCOUT MEDAL SCHEME

ACCOMPLISMENT REPORT due EO June

Name: MA. FELIXIE CLAIRE P. FALCASANTOS

Council: CAGAYAN Region :NORTHERN LUZON
Troop No. 012 Troop Leader: MRS. ROSARIO MARTIN

1. Summary of the Project

1.1 Narrative Report of Accomplishment (due extra sheets as needed)
ATTACHED COPY
_____________________________________________________________________________
1.2 Effects on the:
Community ATTACHED COPY
_______________________________________________________________________________
_______________________________________________________________________________
_____________________________________________________________________________
Candidate ATTACHED COPY
_______________________________________________________________________________
_______________________________________________________________________________
_____________________________________________________________________________

2. Turn-Over Ceremony (Attach copy of the Program)

Place____________________________
Date: ____________________________
3. List of Persons Recognized/Appreciated Assistance Received
(use extra sheets) ATTACHED COPY

4. Plans for sustaining the Project

ATTACHED COPY
_________________________________________________________________________________

Submitted by: ____________________________

Candidate

Noted by: ____________________________

Troop Leader

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

CGSMS Form No. 5

CHIEF GIRL SCOUT MEDAL SCHEME

ACCOMPLISMENT REPORTdue EO June

Name ____________________________
Region NORTHERN LUZON Council CAGAYAN
Troop Leader ____________________________ Troop No. : _________________________

1. Summary of the Project

1.1 Narrative Report of Accomplishment (due extra sheets as needed)
attached copy
_______________________________________________________________________________
_____________________________________________________________________________
1.2 Effects on the:
Community
Attached copy
_______________________________________________________________________________
_____________________________________________________________________________
Candidate
attached copy
_______________________________________________________________________________
_____________________________________________________________________________

2. Turn-Over Ceremony (Attach copy of the Program)

Place: ____________________________
Date: ____________________________
3. List of Persons Recognized/Appreciated Assistance Received
(use extra sheets) attached copy

4. Plans for sustaining the Project

attached copy
_________________________________________________________________________________
_____________________________________________________________________________

Submitted by____________________________
Candidate

____________________________
Date
Noted: ____________________________
Troop Leader

HELENA C. TUNGCUL
Council Executive

LAILA F. MORALES
Regional Executive Director
 MONTHLY PROJECT REPORT
NAME TROOP NO.
Ma. Felixie Claire P. Falcasantos 012

COUNCIL TROOP LEADER

CAGAYAN Mrs. Rosario Martin

PROJECT
Communal Garden

YEAR MONTH ACTIVITY PERSONS INVOLED

JULY *Attend the CGSMS Orientation *CGSMS Candidates,

TL, Council Executive
*Informing the Barangay Officials about the project *Candidate Troop
Leader
AUGUST *Filing up CGSMS Application Form *Candidate, Troop
Leader
*Final Planning of the project *Candidate, Troop
Leader
SEPTEMBER *Cleaning of the Site *Candidate, Brgy.
Officials, TL, Friends
*Collect Seedlings * Candidate, Brgy.
*Start Planting Officials, TL, Relatives
OCTOBER *Cleaning the site *Candidate, TL, Co- Girl
Scouts, Friends
*First Harvest * Candidate, Brgy.
Officials, TL, Residents
NOVEMBER *Planting of the second set of seedlings. * Candidate, Health
Workers, Troop Leader

DECEMBER *Maintenance of the cleanliness of the garden. * Candidate, Brgy.

Officials, Troop Leader

JANUARY *Second harvest of the vegetables. * Candidate, Brgy.

Officials, TL, Residents
*Preparation of the CGSMS Logbook *Candidate, Troop
*Cleaning and preparing for council evaluation Leader,

FEBRUARY *Planting seeds *Candidate, Troop

Leader, Co- Girl Scouts,
Friends
*Council Evaluation
MARCH
APRIL
MAY
JUNE *Submission of the CGSMS Logbook

Narrative Report of Accomplishment

EFFECT ON THE PROJECT

COMMUNITY

CANDIDATE
 TURN OVER PROGRAMME
JUNE , 2011
BUNTUN BARANGAY HALL
Buntun, TuguegaraoCity , Cagayan

Invocation ---------------------------------------------- PACITA P. GARDUQUE

Barangay Kagawad

PambansangAwit------------------------------------ LANI B. DAYAG

Barangay Secretary

Opening Remarks----------------------------------- ROSALIE P. LUGO

Troop Leader

Turn Over Speech---------------------------------- JONA LIZA S. RAGUINGAN

CGSMS Candidate

Acceptance Speech--------------------------------- HON.JUANITA M. BALAGAN

Barangay Captain

Impressions:
TERESA T. ADDUCUL
Barangay Kagawad

MICHELLE DASSUN
SK Chairman

Response------------------------------------------ Jona Liza S. Raguingan

CGSMS Candidate

Parting Shots-------------------------------------- TEODORO Z. ATTABAN

Barangay Kagawad

Master of Ceremony:

ROMELYN PALATAN
SanguniangKabataan Member
TURN OVER SPEECH
ACECEPTANCE SPEECH
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

THE CHIEF GIRL SCOUT MEDAL SCHEME

Evaluation Form
Name :____________________________
Council :CAGAYAN Region: NORTHERN LUZON
Troop Leader : ____________________________ Troop Number: ___________
Area of Work : ____________________________
Period Covered:____________________________
CRITERIA FOR EVALUATION

I. PERSONAL ATTRIBUTES 30% (to be rated by the Troop Leader)

Adequate Progress and Growth in: RATING
a. Spiritual and Physical Health _________
b. Integrity _________
c. Sense of Responsibility _________
d. Perseverance, Effort & Determination _________
e. Manners and Decorum _________
f. Knowledge and Skills _________
g. Poise and Grooming _________
Name & Signature of Troop Leader: __________________________
II. PERFORMANCE 40% (to be rated by the Panel of Evaluators)
a. LEADERSHIP _________
- Planning
- Organizing
b. IMPLEMENTATION _________
- Follow through of plans
- Networking
- Use of Resources
c. DOCUMENTATION _________
- Completeness of records (neatness, organization & presentation of thoughts, presence
of required documents)
III. THE PROJECT 30%
A. COMMUNITY INVOLVEMENT _________
B. EFFECT ON: _________
- Community
- Candidate
C. SUSTAINABITY _________
TOTAL _________

Remarks: A percentage of 80 %to 100% to qualify the candidate for the Chief Girl Scout Medal

Evaluated:____________________

Date ____________________

Noted : LAILA F. MORALES

Regional Executive Director
 GIRL SCOUTS OF THE PHILIPPINES
NATIONAL HEADQUARTERS
MANILA

THE CHIEF GIRL SCOUT MEDAL SCHEME

Summary of Rating

Name : ____________________________
Council : CAGAYAN Region NORTHERN LUZON
Troop Leader : ____________________________ Troop Number : ___________________
Area of Work : ____________________________

NAME OF EVALUATOR POSITION SIGNATURE RATING

1. Outstanding Citizen

2. Outstanding Citizen

3. LORNA B. MANAUIS, Ph.D. Council Commissioner on

Program
4. HELENA C. TUNGCUL Council Executive
5. Regional Representative

AVERAGE ____________________

Evaluated :___________________________
___________________________
Position

Noted LAILA F. MORALES

Regional Executive Director
 Project Description

The Chief Girl Scout Medal Scheme project is all about

“Communal Garden” here in our locality, Cataggaman
Nuevo, Tuguegarao City, Cagayan, initiated by Ma.
Felixie Claire P. Falcasantos, a Senior Girl Scout of
Cagayan National High School.

The project is located at Zone 4 because the Barangay

Hall is Located in that Zone. This project aims not only
to help the nature and serve the barangay but also to
enhance and use the skills given to us Girl Scouts.

Objectives

*To encourage my fellow residents to make their own

small garden in their backyard.
*To develop our social aspects by working with other
people.
*To partially fulfill my obligation as a Senior Girl Scout
of the Philippines.

Methodology

The methods used in this project were effective

communications like interview and surveys.