Conquistador Council, BSA - Merit Badge Counselor Information

MERIT BADGE COUNSELOR INFORMATION

Name:

Age:

Business Phone:

Email:

Address:

Home Phone:

City:

ST:

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, avocation, or special training.
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.

	Vocation	Avocation	Special Training
List merit badge subjects below:	Is this subject in line with your job? If yes, give brief description in the box below:	Do you follow this subject as a hobby? If yes, give brief description in the box below:	Do you have any special training? If yes, give brief description in the box below:
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4.
5.
6.
7.

I wish to work only with - Unit No:
I wish to work with all units

Signature:

Date:

Council Approval by:

Date:

#34405 - 730176344058-1998 Boy Scouts of America