The document contains records for a Scout seeking to earn a merit badge. It includes sections for the applicant's name and unit number, the merit badge being sought, the counselor's name and contact information, and places for the counselor and unit leader to sign off on requirements and approve the application. The counselor's portion suggests keeping the record for at least a year in case any questions arise about the award.
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The document contains records for a Scout seeking to earn a merit badge. It includes sections for the applicant's name and unit number, the merit badge being sought, the counselor's name and contact information, and places for the counselor and unit leader to sign off on requirements and approve the application. The counselor's portion suggests keeping the record for at least a year in case any questions arise about the award.
The document contains records for a Scout seeking to earn a merit badge. It includes sections for the applicant's name and unit number, the merit badge being sought, the counselor's name and contact information, and places for the counselor and unit leader to sign off on requirements and approve the application. The counselor's portion suggests keeping the record for at least a year in case any questions arise about the award.
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100%(13)100% found this document useful (13 votes)
The document contains records for a Scout seeking to earn a merit badge. It includes sections for the applicant's name and unit number, the merit badge being sought, the counselor's name and contact information, and places for the counselor and unit leader to sign off on requirements and approve the application. The counselor's portion suggests keeping the record for at least a year in case any questions arise about the award.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
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The applicant has personally appeared before me APPLICANT’S RECORD COUNSELOR’S RECORD
and demonstrated to my satisfaction that he has met
all requirements for the (please print): Name ________________________________________ Applicant ___________________________________ ________________________________________________ Merit Badge
________________________________________________ has given me his completed application for the o Troop
Name of Counselor o Team Unit number: ____________________ ________________________________________________ _____________________________________________ Address of Counselor Merit Badge o Post ________________________________________________ City ZIP Code Completed on __________/_________/_________ by __________________________________________ ________________________________________________ Merit Badge Telephone number of Counselor
_____________________________________/_____/_____ _____________________________________________ Signature of Counselor Date Completed _________/_________/__________ Signature of counselor Date Remarks: Checked and recorded: _____________________________________________ ________________________________________________ Signature of unit leader Date Initials Certificate and badge presented: _____________________ Date
Applicant will turn in this portion to his unit NOTE TO BOY SCOUT, VARSITY SCOUT, OR It is suggested that the counselor keep this record leader for record posting. EXPLORER: Retain this copy for your permanent for at least 1 year in case any question is raised records. later in regard to this award.
The applicant has personally appeared before me APPLICANT’S RECORD COUNSELOR’S RECORD and demonstrated to my satisfaction that he has met all requirements for the (please print): Name ________________________________________ Applicant ___________________________________ ________________________________________________ Merit Badge
________________________________________________ has given me his completed application for the o Troop
Name of Counselor o Team Unit number: ____________________ ________________________________________________ _____________________________________________ Address of Counselor Merit Badge o Post ________________________________________________ City ZIP Code Completed on __________/_________/_________ by __________________________________________ ________________________________________________ Merit Badge Telephone number of Counselor _____________________________________________ _____________________________________/_____/_____ Date Completed _________/_________/__________ Signature of counselor Date Signature of Counselor Remarks: Checked and recorded: _____________________________________________ ________________________________________________ Signature of unit leader Date Initials Certificate and badge presented: _____________________ Date
Applicant will turn in this portion to his unit NOTE TO BOY SCOUT, VARSITY SCOUT, OR It is suggested that the counselor keep this record leader for record posting. EXPLORER: Retain this copy for your permanent for at least 1 year in case any question is raised records. later in regard to this award.
The applicant has personally appeared before me APPLICANT’S RECORD COUNSELOR’S RECORD and demonstrated to my satisfaction that he has met all requirements for the (please print): Name ________________________________________ Applicant ___________________________________ ________________________________________________ Merit Badge
________________________________________________ has given me his completed application for the o Troop
Name of Counselor o Team Unit number: ____________________ ________________________________________________ _____________________________________________ Address of Counselor Merit Badge o Post ________________________________________________ City ZIP Code Completed on __________/_________/_________ by __________________________________________ ________________________________________________ Merit Badge Telephone number of Counselor
_____________________________________/_____/_____ _____________________________________________ Signature of Counselor Date Completed _________/_________/__________ Signature of counselor Date Remarks: Checked and recorded: _____________________________________________ ________________________________________________ Signature of unit leader Date Initials Certificate and badge presented: _____________________ Date
Applicant will turn in this portion to his unit NOTE TO BOY SCOUT, VARSITY SCOUT, OR It is suggested that the counselor keep this record leader for record posting. EXPLORER: Retain this copy for your permanent for at least 1 year in case any question is raised records. later in regard to this award. APPLICATION FOR
Counselor Information for Applicant
Initial MERIT BADGE • A merit badge application can be approved only by a registered merit badge counselor. Name______________________________________ • You must have a buddy with you (Scout buddy
Approval Date of system) at each meeting with the merit badge Address____________________________________ counselor. City________________________________________ • Turn in your approved application to your unit is a registered leader. You will be awarded the merit badge em- o Boy Scout o Varsity Scout o Explorer
Requirement no and letter blem and certificate at a suitable occasion. of _______________________________ No._______ Troop, team, post, ship Information for Counselor District ______________________________________ • Merit badge applications must be signed in ad-
Requirement Date of Counselor
vance by the applicant’s unit leader.
Initial Council______________________________________ • The Scout must have his buddy (Scout buddy system) in attendance at all instructional sessions. and is qualified to begin working for merit badge noted on the reverse side.
no and letter Approval
• You may not change any requirement, but you may share your knowledge or experience that will __________ ______________________ make the counseling more interesting and valu- Date Signature of Unit Leader able. BOY SCOUTS OF AMERICA
7 30176 34124 8 No. 34124 1996 Printing
APPLICATION FOR Counselor
Information for Applicant
Initial
MERIT BADGE • A merit badge application can be approved only by a registered merit badge counselor. Name______________________________________ • You must have a buddy with you (Scout buddy Approval Date of
system) at each meeting with the merit badge Address____________________________________
counselor. City________________________________________ • Turn in your approved application to your unit is a registered leader. You will be awarded the merit badge em- o Boy Scout o Varsity Scout o Explorer Requirement no and letter
blem and certificate at a suitable occasion.
of _______________________________ No._______ Troop, team, post, ship Information for Counselor District ______________________________________ • Merit badge applications must be signed in ad- Requirement Date of Counselor
vance by the applicant’s unit leader. Council______________________________________
Initial
• The Scout must have his buddy (Scout buddy
system) in attendance at all instructional sessions. and is qualified to begin working for merit badge noted on the reverse side. no and letter Approval
• You may not change any requirement, but you
may share your knowledge or experience that will __________ ______________________ make the counseling more interesting and valu- Date Signature of Unit Leader able. BOY SCOUTS OF AMERICA
7 30176 34124 8 No. 34124 1996 Printing
APPLICATION FOR Counselor Initial
Information for Applicant MERIT BADGE
• A merit badge application can be approved only by a registered merit badge counselor. Name______________________________________ Approval Date of
• You must have a buddy with you (Scout buddy Address____________________________________
system) at each meeting with the merit badge counselor. City________________________________________
• Turn in your approved application to your unit is a registered
leader. You will be awarded the merit badge em- o Boy Scout o Varsity Scout o Explorer Requirement no and letter
blem and certificate at a suitable occasion.
of _______________________________ No._______ Troop, team, post, ship Information for Counselor District ______________________________________ Requirement Date of Counselor
• Merit badge applications must be signed in ad-
Initial
vance by the applicant’s unit leader. Council______________________________________
• The Scout must have his buddy (Scout buddy and is qualified to begin working for merit system) in attendance at all instructional sessions. no and letter Approval
badge noted on the reverse side.
• You may not change any requirement, but you may share your knowledge or experience that will __________ ______________________ make the counseling more interesting and valu- Date Signature of Unit Leader able. BOY SCOUTS OF AMERICA
