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:*