Bsa Ready & Prepared Award Application Form printable pdf download

BSA Ready & Prepared Award Application

Apply for award at the time of re-chartering. You may apply every year.

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Boy Scout troop

Varsity Scout team

Venturing crew (Check one.)

Unit No. __________ Number of youth members in unit ________ Number of adult members in unit _______

Council No. ________ Council name ________________________________________________________

Name and title of unit leader ________________________________________________________________

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We are applying for the

Silver Award

Gold Award

Mandatory Requirements

1. Number of registered adults trained in Safety Aﬂ oat and Safe Swim Defense _______

2. Number of registered members, including at least one adult, who were trained in ﬁ rsr aid and CPR by a recognized

agency such as the American Red Cross or the American Heart Association:________

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3. Every registered adult in the unit is trained in BSA Youth Protection.

Yes

4. Th e unit viewed the BSA Youth Protection video “A Time to Tell” or “Personal Safety Awareness” (circle one) on

_________ (date).

5. All registered adults and all adults listed as drivers on tour permits for activities occurring during the past six

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months have read and signed the Driver’ s Pledge.

Yes

6. Th e Scoutmaster, Coach, or Advisor; assistant Scoutmasters, Coaches, or Advisors; and unit committee chair have

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in their possession and have read the most current Guide to Safe Scouting.

Yes

7. Th e unit members conducted a safety check of their meeting place using the checklist in the Guide to Safe Scouting

on ________________________________________________________________

8. Th e unit ﬁ rst-aid kit was updated on ___________(date) and is complete.

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9. During the past 12 months the unit ﬁ led all tour permits with the local council when required.

Yes

10. Mandatory for troops and teams only: Number of youth members who earned the Traﬃ c Safety merit badge _____

10. Mandatory for Venturing crews only: All youth with a driving permit or driver’ s license have taken Venturing

All youth with a driving permit or driver’ s license have taken Venturing

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Out: Keys to Safe Driving online or attended a group presentation

Yes

Elective Requirements

In addition to the mandatory requirements, complete three of these elective requirements to earn the Gold Award or

six to earn the Silver Award.

1. Troops and teams only: Number of registered Scouts who have earned the First Aid merit badge:_____

1. Venturing crews only: Number of registered crew members who were trained in CPR by a recognized agency such

as the American Red Cross or the American Heart Association:______

2. Number of unit members that completed the Fitness for Life program _______ Quest Award_______

3. Th e unit ﬁ led a Unit Money Earning Application with the council oﬃ ce for all unit fund-raising activities

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occurring in the past 12 months.

Yes

4. At least half of the Scouts registered in the unit have earned the Emergency Preparedness, BSA, Award on

________________________________.

5. Th e unit conducted a safety promotion with the community on the topic of _________ on ___________ (date).

6. Each member of the unit read and on ________ we discussed chapter 6, Managing Risk, Fieldbook.

7. ______________ is our unit’ s risk management or health and safety oﬃ cer (circle one). A copy of the duties and

responsibilities assigned to this position is attached.

Th is unit has completed the requirements for the BSA Ready & Prepared Award as noted above.

Signed ______________________________________________________________ Date _____________

Scoutmaster, Coach, or Advisor

Council Approval

Th is unit has satisfactorily completed requirements for the ❏ Gold ❏ Silver BSA Ready & Prepared Award.

Signed ______________________________________________________________ Date _____________

Scout Executive

10-278

2005 Printing

Bsa Ready & Prepared Award Application Form

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