Boy Scout Troop 652    

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7/25/02

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  9/23/02

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Boy Scouts of America
Merit Badge Counselor Information
(Fill out online then print and sign or simply print out the form and fill it in and sign it.)

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 merit badge counselor.
List merit badge subjects here. 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.
1.
2.
3.
4.
5.

Check One:
I wish to work only with(unit name)
I wish to work with all units.


Signature: __________________________________________     Date _________________
Note: The BSA Adult Registration Application must be attached.

Council approval by __________________________________      Date _________________