Notification of Achievement of Gold Award (Ga8)
NOTIFICATION OF ACHIEVEMENT OF GOLD AWARD (GA8)
PERSONAL DETAILS – please complete your name EXACTLY as you would like it to appear on your certificate.eDofE ID No: (if known) / Title: Mr / Miss / Ms / Mrs / Other (state)
Surname: / First Name(s):
Address: / Date of birth: /
Telephone No (home):
Town: / Telephone No (mobile):
County: / Postcode: / Email:
Please select one:
check out the pictures on our website / Badge / Brooch / Occupation:
Most presentations are in London (normally St James’s Palace). Please tick if you would prefer your presentation to be:
In Scotland (for residents in N. Ireland, North of England, Yorks & Humber only) / In Northern Ireland (for residents in N. Ireland only)
The DofE will contact you using the information you have provided above with information related to your DofE Gold Award Presentation and DofE Alumni Information. Information about Gold Award Presentations are sent by email in the first instance and then followed up by post.
PERSONAL GUEST DETAILS (due to space restrictions at St James’s Palace, a maximum of one guest per young person is permitted).
Title: Mr / Miss / Ms / Mrs / Other (state) / Address (if different to above):
First Name:
Surname: / Town:
Telephone No: / County: / Postcode:
Email: / Date of birth: / (all guests must be at least 16 )
Relationship of guest: / Parent / Spouse / Sibling / Friend / Other (please state):
If you provide us with your Guest’s email you are confirming they are happy to receive information about DofE Gold Award Presentations directly from the DofE. After your Presentation you and your guest will be able to opt out of further communications.
LICENSED ORGANISATION
Name of Licensed Organisation: / Centre/group Address:
Name of centre/group where you did your Gold DofE programme: / Town:
County: / Postcode:
DETAILS REGARDING YOUR GOLD AWARD PRESENTATION
I do not wish to attend a Gold Award Presentation, please send me my certificate by post (please tick):
PLEASE NOTE: You will have two chances to attend a presentation after which you will be sent your certificate by post.
If you are unable to attend the original presentation, you will then beinvited to the next presentation that your Licensed Organisation /centre have been selected for, which can be approximately 6 months later.
AUTHORISATION
Participant’s Signature: / Name: / Date: /
To be completed by the DofE Leader. I confirm that the above participant has met all the DofE requirements and sectional conditions.
DofE Leader’s Signature: / Name: / Date: /
To be completed by the Award Verifer of the Licensed Organisation. I certify this participant has satisfied the requirements to achieve a Gold Award.
Award Verifier Signature: / Name: / Job Title: / Date: /
FOR DofE
OFFICE USE ONLY / Confirmation Signature/Initials: / Date: / / / Region: / Badge
Sent: / /
PROGRAMME DETAILS to be completed by the participant with reference to the Record Book or eDofE. If you did 2 activities for any section include both.
SECTION / BRONZE DofE PROGRAMME / No. of months
Volunteering / Chosen activity
Dates started and completed / /
Physical / Chosen activity
Dates started and completed / /
Skills / Chosen activity
Dates started and completed / /
Expedition / Area / Dates / / TO /
MODE OF TRAVEL / Foot / Water / Cycle / Horseback / Other ______
Date programme completed / /
SECTION / SILVER DofE PROGRAMME / No. of months
Volunteering / Chosen activity
Dates started and completed / / /
Physical / Chosen activity
Dates started and completed / / /
Skills / Chosen activity
Dates started and completed / / /
Expedition / Area / Dates / / TO /
MODE OF TRAVEL / Foot / Water / Cycle / Horseback / Other ______
Date programme completed / /
SECTION / GOLD DofE PROGRAMME / No. of months
Volunteering / Chosen activity
Dates started and completed / / /
Physical / Chosen activity
Dates started and completed / /
Skills / Chosen activity
Dates started and completed / / /
Expedition / Area / Dates / / TO /
Notification Number
MODE OF TRAVEL / Foot / Water / Cycle / Horseback / Other ______
Residential / Dates / / TO /
Description of Residential
Date programme completed / /
YOUR DofE EXPERIENCES
We are keen to hear more about what you thought about your DofE experience and what you did to achieve your Gold Award. This will help us publicise the DofE and what great things people do to the public and the media.
If you would like to tell us about your experiences
please email
GOLD AWARD NOTIFICATION FORM (VERSION GA8 April 2013)