A new adult application is required if not registered adult with BSA. E-Mail Address_____________________ Unit Affiliati
MAIL TO: PTAC Northwest Suburban Community 617 E Golf Road Suite 101 Arlington Heights, IL 60005
Posted to Personal Records ________ Added to MB List ________ Letter Sent to Counselor ________
MERIT BADGE COUNSELOR APPLICATION For PTAC Northwest Suburban Community NAME__________________________________AGE______HOME PHONE ____________________ ADDRESS________________________________________ WORK PHONE____________________ CITY____________________STATE_____ZIPCODE___________ A new adult application is required if not registered adult with BSA E-Mail Address_____________________ Unit Affiliation _____________ District________________ To qualify as a merit badge counselor you must: * Be 18 years old or older * Be proficient in the merit badge subject by vocation or avocation * Be able to work with Scout age boys * Be registered with the Boy Scouts of America * Follow the requirements of the merit badge, no deletions, no additions. Work from the most current edition of the MB Pamphlet
MERIT BADGE
As a merit badge counselor you must agree to: 1. Counsel one to six, but no more than 6, Merit Badges, and of those MBs only 3 may be Eagle Required 2. Have two or more scouts/siblings/parents present at all instruction sessions 3. Renew your registration yearly if you wish to continue as a counselor. 4. Change or add to the Merit Badges you counsel for only one time each year at re-registration time in January.
JOB, BUSINESS, PROFESSIONAL QUALIFICATIONS RELATED TO BADGE
HOBBY, EDUCATION OTHER QUALIFICATIONS PLEASE COMMENT COURSES RELATED TO BADGE PLEASE LIST AND COMMENT
PLEASE LIST AND COMMENT
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(If more space is needed, please use the back side of this paper0
APPLICANT’S SIGNATURE_______________________________________________________DATE_______________ DISTRICT ADVANCEMENT CHAIR’S APPROVAL______________________________________DATE___________
