Girl Scout Gold Award Girl Scout Gold Award Citation Request Form Scout's Full Name* Scout's Address* City* State* Zip Code* Scout's Father's Name* Scout's Mother's Name* Troop Number & Location* Date of Ceremony* Location of Ceremony* Gold Award Project*(Give brief description)Scout Merit Badges & Awards*Contact Person Information:Contact's Name* Contact's Address* City* State* Zip Code* Contact's Phone*Contact E-Mail Address:*