Merit Badge Counselor Application Form - Bsa printable pdf download

LOS ANGELES AREA COUNCIL

BOY SCOUTS OF AMERICA

ERIT

ADGE

OUNSELOR

PPLICATION

NORTH STAR DISTRICT

(Please type or print legibly)

Name: _______________________________________________ Date of Birth: _________________

(Please check address and phone number where Scouts may contact you.)

c Residence Address __________________________________ Phone _____________________

City ______________________________________________ Zip Code __________________

c Business Address ___________________________________ Phone _____________________

City ______________________________________________ Zip Code __________________

Email ___________________________________________________________________________

Procedure:

1. Complete this Merit Badge Counselor Application.

2. Complete an Adult Leader Application, Form No. 28-501 using Code 42 as the position

code.

3. Forward these two forms to your District Advancement Chairman for review and

approval. Do no send these applications to the Council office!

4. You will be notified as to when you can start counseling Scouts.

NOTE: All Merit Badge Counselors must complete an Adult Leader Application, even if you are

already registered in another position. No registration fee is required, unless you wish to receive the

Scouting Magazine, the Scouters News, and an official Registration Card. However, you cannot serve

in any other capacity, unless you are a paid, registered adult leader.

IMPORTANT: As a counselor, you will give a special type of service to young men by aiding them

in the exploration of many fields of endeavor. You will need to be prepared not only to give each Scout

a thorough review of the requirements of the merit badge, but also to counsel them and assist them (as

required) on the subjects(s) in which they seek approval.

A young man should not be asked to do anything more nor anything less than what is required in

the latest revision of the Merit Badge Handbook for each merit badge. All national and council policies

and guidelines must be followed.

For your protection, and in keeping with BSA Youth Protection Guidelines established in April 1988,

a counselor must not meet with a youth in a “one -on-one” situation. It is recommended that a

Scout be accompanied by another Scout(s), their parent(s), or a friends(s). Encourage the Scout who

calls to set an appointment to get other Scouts to work with them on the badge.

(over)

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Merit Badge Counselor Application Form - Bsa