Using gnome/fedora quite some time I have the standard Desktop, Documents, Music, etc which sit mostly stagnant due to dropbox.
Some of the interesting others: ~/Dropbox My dropbox folder.
~/prefix where I install various libs and things I'm using. I have my /home on a seperate partition so I can quickly re-install without losing settings. Using ~/prefix saves having to re-build the more obscure dependencies/tools I end up using.
~/projects where I keep checkouts projects I'm working on or using (they get installed from here into ~/prefix). It is also an eclipse workspace folder, for the times when I need eclipse.
~/media a symlink to my other drives (DVD, usb devices, etc) so that when I samba in (rarely) I can easily get to those -- I was too lazy to add shares for them.