MERIT BADGE COUNSELOR INFORMATION

Boy Scouts of America

MERIT BADGE COUNSELOR INFORMATION

(Please type or print)

Name ______________________________________________Age _____ Business Phone (____) ________________

Address _______________________________________________________ Home Phone (____) _______________

City ____________________________________________________________ State ______ Zip Code ____________

To qualify as a merit badge counselor, you must:

Be at least 18 years old

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

As a merit badge counselor, I agree to:

Follow the requirements of the merit badge, making no deletions or additions, ensuring that the advancement standards are fair and uniform for all scouts.

Have a Scout and his buddy present at all instructional sessions.

Renew my registration annually if I plan to continue as a merit badge counselor.

		Is this subject in line with your job, business, or profession? If yes, give brief information on the reverse side.	Do you follow this subject as a hobby, having more than a "working knowledge" of the requirements? If yes, give brief information on the reverse side.	If not, do you have any special training, or other qualifications for this subject? If yes, give brief information on the reverse side.
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There is no fee for becoming a merit badge counselor. You need only to submit this form and an BSA Adult Application Form upon initial registration. Confirmation of your continued interest in serving as a merit badge counselor should resubmitted on an annual basis.

CHECK ONE:

I wish to work only with _____________ (Unit Number)

I wish to work with all units.

Signature____________________________________________________________ Date________________

Note: The BSA Adult Application must be attached.

Council approval by ___________________________________________________ Date ________________