Medallion Application
  • You should hear back from us within a week if it is approved or not.
  • If you have any questions, reach out to Ms. Scherbel, Mr. Riebe, Ms. Janell Allen, or Colin Foster. 
  • Remember that you will also need to fill out a reflection (see other google form) by May 1st.
  • You will need to report you hours by May 1st in the UServe Hub.
Sign in to Google to save your progress. Learn more
Student Last Name *
Student First Name *
Student Email *
Student Number *
Graduation Year *
Which Route are you taking? *
Captionless Image
In a few sentences, explain what you want to do for your senior year medallion project. *
In a few sentences, explain who will benefit from your completed project. *
Predict how your 40+ hours will be used: planning, organizing, gathering resources,  implementing, completing, thanking
What approval or permission do you need to complete your project? List of who you need to talk to for this permission/approval. From a school, company, city, parks department, council, religious group etc. *

List all of the  materials/supplies that you need for your project. 

(2x4’s, bags of cement, kids books, wrapping paper, pizza and gatorade to feed volunteers etc)

*

List all of the tools you will need to complete your project.

(rake, hammer, circular saw, plastic gloves, scissors, tables, trash cans, transportation of items collected or needed…etc)

*
Will you need people to help you complete the project?  How many? What skills? *

Estimated cost of project:

Look up how much supplies, materials, food, permits will cost.  Show a good understanding of the total cost.

If items need to be purchased, How will you pay for the project?

Show a good understanding of “how”. Fundraising rules of GSD must be followed and approved by admin.

*
Brainstorm a list of people you will need to write a thank you note to. *
List your steps in as much detail as possible: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Granite School District.

Does this form look suspicious? Report