COMMUNITY PROFILE CGSMS Form No. 1.
1. Name of Purok/Zone: Purok Mahayahay Population: 128
2. Barangay: Agan-an, Sibulan, Negros Oriental Municipality/Province/City: Sibulan, Neg. Or.
3. No. of families in the purok: 22 No. Interviewed: No. of Houses: 22
4. No. of houses: 22 Light Material: 18 Concrete: 4
5. No. of houses with:
Toilets: 22 Flower Garden: 0
Electricty: 22 Vegetable Garden: 0
Running water: 2 Poultry: 0
Artesian well: 0 Piggery: 2
Others (Specify): Chicken: 3
6. No. of Schools in the purok/zone: none
7. No. of church/chapel in the Purok/zone: none
8. Government offices located in the purok /zone: none
9. No. of hospital/clinic in the purok/zone: none
10. Community centers available like daycare,reading,health,others(specify) in the purok zone:
none
11. Means of transportation available in the purok/zone: motorcycle
12. Recreational facilities available in the purok/zone: motorcycle
13. Means of livelihood/occupations / employement of the people in the purok/zone:
construction worker, fishermen
14. Educational attainment of the (indicate number)
Men ( elementary, high school): 11, 25
Women (elementary, high school): 9, 33
15. No. of school children of school age (6yrs.-21 yrs): 50
In school: 39
Out of school: 11
16. General conditions of:
Roads: informal pathway Playground for children: none
Drainage: no proper drainage Market: none
Park/plaza : none Garbage Disposal: fair
Trees and other plants: acacia, coconut, talisay tree
17. Person/s interviewed:
18. Identified three(3) community problem/ needs
a) water supply
b) drainage system
c) means of living (stable job)
Aileah Gene Venice Pastolero
Chief Girl Scout Medal Candidate
Date/s of Survey
Noted By:
Judee Cabilin
Troop Leader
GIRL SCOUTS OF THE PHILIPPINES
National Headquarters
Manila
CGSMS Form No. 1
CHIEF GIRL SCOUT MEDAL SCHEME
APPLICATION FORM
l. Personal Information
Name : Aileah Gene Venice Pastolero
Address : 1022 Tubtubon, Sibulan, Negros Oriental
Telephone No. : 09975996545 Troop No. : 1825
Region : Visayas Council: Negros Oriental Siq.
Troop Leader : Judee Cabilin
Parents : Generoso A. Licerio/Melanie P. Pastolero
Occupation : Self-employed/Deceased
Registration Dates :
Three (3) Years of Girl Scouting Experience
3 Years Senior Scout
ll. Badgework (2 badges for each of the 8 point Challenge)
Badges Earned Challenges Dates Earned
1. Public Safety Preparedness August 2018
2. Outdoor Safety Preparedness August 2018
3. Ecologist Environment August 2018
4. Money Management Economic Self-Sufficiency August 2018
5. Community Service Heritage & Citizenship November 2018
6. Family Outreach Family Life November 2018
7. My Family & I Family Life November 2018
8. I Love To Sing Arts November 2018
9. Customs and Tradition Heritage & Citizenship November 2018
10. Performing Arts Arts September 2018
11. Growing Up Spirituality and Well-Being September 2018
12. My Spiritual Life Spirituality and Well-Being September 2018
13. Handcrafts Production Economic Self-Sufficiency September 2018
14. Recycling Environment September 2018
15. GSP and Wagggs Surfer World Community September 2018
16. Twinning World Community September 2018
lll. Camping Record Encampment Date Place
Troop: School Encampment September 2018 Negros Oriental High School
District:
Council: 36th Junior, Senior, Cadet Camp September 2018 Camp Lily Gamo, Sibulan,Neg. Or.
Regional: Junior, Senior, Cadet Regional Camp October 23-26 2018 Camp Marina, Cebu City
National: 41st National Camp Nov. 30-Dec. 5, 2018 Camp Banaoang, Ilocos Sur
International:
lV. Chief Girl Scout Medal Scheme Orientation/ Workshop
Date: May 17, 2019 Place: GSP Headquarters
Submitted By: Aileah Gene Venice Pastolero
Name of Candidate
Noted By: Judee Cabilin
Troop Leader
RAZZIL P. NOCETE
Council Executive
AIDA B. Sarimones
Regional Excecutive Director
Attachments;
1. Troop Leader’s Endorsement
2. Parent’s Endorsement
3. Community profile
Due EO August
Republic of the Philippines
Girl Scouts of the Philippines
Region VII, Central Visayas
Negros Oriental-Siquijor Council
Division of Dumaguete City
Negros Oriental High School
June 16,, 2019
RAZZIL P. NOCETE
Council Executive
Negros Oriental-Siquijor Council
Dumaguete City
Dear Mrs. Nocete,
Good day!
I, Generoso A. Licerio, father of Aileah Gene Venice Pastolero, a Cadet Scout of Negros
Oriental High School, do hereby endorse, permitand support her application for the Chief Girl
Scout Medal Scheme under troop no. 1825 of Negros Oriental-Siquijor Council.
I strongly believe that her undergoing of the said project will ultimately be of great help
to her as a person and also for the society.
Generoso A.Licerio
Father
Republic of the Philippines
Girl Scouts of the Philippines
Region VII, Central Visayas
Negros Oriental-Siquijor Council
Division of Dumaguete City
Negros Oriental High School
June 17, 2019
RAZZIL P. NOCETE
Council Executive
Negros Oriental-Siquijor Council
Dumaguete City
Dear Mrs. Nocete,
Good day!
It is my honor and privilege to endorse to you Cadet Scout Aileah Gene Venice Pastolero
in her application for Chief Girl Scout Medal Scheme.
Her initiative to work on Ecology: Water Pump for the people of Purok Mahayahay, Agan-
an, Sibulan, Negros Oriental will surely help the residents in the said purok.
Judee L. Cabilin
Girl Scout Troop Leader
