Information for Applicant APPLICATION FOR
Counselor
initial
• A merit badge application can be approved only MERIT BADGE
by a registered merit badge counselor.
Name
• You must have a buddy with you (Scout buddy
approval
system) at each meeting with the merit badge Address
Date of
counselor. City
• Turn in your approved application to your unit
leader. You will be awarded the merit badge is a registered
No. and letter
Counselor Requirement
emblem and certificate at a suitable occasion. 9 Boy Scout 9 Varsity Scout 9 Venturer
of Troop No.
Information for Counselor (Troop, team, crew, ship)
District
• Merit badge applications must be signed in
Council
initial
advance by the applicant’s unit leader.
• The Scout must have his buddy (Scout buddy and is qualified to begin working for the merit
system) in attendance at all instructional badge noted on the reverse side.
sessions.
approval
Date of
• You may not change any requirement, but you
may share your knowledge or experience that will Date Signature of unit leader
make the counseling more interesting and
No. and letter
valuable.
Requirement
®
BOY SCOUTS OF AMERICA
APPLICATION FOR
Counselor
Information for Applicant
initial
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 City
counselor.
is a registered
No. and letter
Counselor Requirement
• Turn in your approved application to your unit
leader. You will be awarded the merit badge 9 Boy Scout 9 Varsity Scout 9 Venturer
emblem and certificate at a suitable occasion.
of Troop No.
(Troop, team, crew, ship)
Information for Counselor District
initial
• Merit badge applications must be signed in Council
advance by the applicant’s unit leader. and is qualified to begin working for the merit
• The Scout must have his buddy (Scout buddy badge noted on the reverse side.
approval
system) in attendance at all instructional
Date of
sessions.
• You may not change any requirement, but you Date Signature of unit leader
may share your knowledge or experience that will
No. and letter
Requirement
make the counseling more interesting and
valuable.
®
BOY SCOUTS OF AMERICA
Counselor
APPLICATION FOR
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 City
counselor.
No. and letter
Counselor Requirement
• Turn in your approved application to your unit is a registered
leader. You will be awarded the merit badge 9 Boy Scout 9 Varsity Scout 9 Venturer
emblem and certificate at a suitable occasion.
of Troop No.
(Troop, team, crew, ship)
Information for Counselor District
initial
• Merit badge applications must be signed in Council
advance by the applicant’s unit leader. and is qualified to begin working for the merit
• The Scout must have his buddy (Scout buddy badge noted on the reverse side.
approval
Date of
system) in attendance at all instructional
sessions.
• You may not change any requirement, but you Date Signature of unit leader
No. and letter
may share your knowledge or experience that will
Requirement
make the counseling more interesting and
valuable.
®
BOY SCOUTS OF AMERICA
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 9 Troop
9 Team Unit number
Name of counselor
Merit badge 9 Crew
Address of counselor
Completed on / / by
Date
City Zip Code
Merit badge
Telephone number of counselor Signature of counselor
Date completed / /
Signature of counselor Date Signature of unit leader Remarks:
Checked and recorded:
Date Initials
Date certificate and badge presented:
Applicant will turn in this portion to his unit leader NOTE TO BOY SCOUT, VARSITY SCOUT, OR It is suggested that the counselor keep this record
for record posting. VENTURER: 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 9 Troop
Name of counselor 9 Team Unit number
9 Crew
Address of counselor Merit badge
City Zip Code
Completed on / / by
Date
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
Date certificate and badge presented:
Applicant will turn in this portion to his unit leader NOTE TO BOY SCOUT, VARSITY SCOUT, OR It is suggested that the counselor keep this record
for record posting. VENTURER: 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 9 Troop
9 Team Unit number
Name of counselor
Merit badge 9 Crew
Address of counselor
Completed on / / by
Date
City Zip Code
Merit badge
Signature of counselor
Telephone number of counselor Date completed / /
Signature of counselor Date Signature of unit leader Remarks:
Checked and recorded:
Date Initials
Date certificate and badge presented:
Applicant will turn in this portion to his unit leader NOTE TO BOY SCOUT, VARSITY SCOUT, OR It is suggested that the counselor keep this record
for record posting. VENTURER: Retain this copy for your permanent for at least 1 year in case any question is raised
records. later in regard to this award.