Summer Camp Staff Application - Boy Scouts Of America - 2016 Page 3
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4Please place an “X” in the areas you have the following experience:
Aquatics
Ecology/Conservation
___ Swimming MB
___Astronomy MB
___ Lifesaving MB
___Bird Study MB
___ Snorkeling BSA
___Environmental Science MB
___ Canoeing MB
___Fish & Wildlife Mgmt. MB
___ Rowing MB
___Forestry MB
___ Small Boat Sailing MB
___Geology MB
___ BSA Lifeguard (date)________
___Mammal Study MB
___ BSA Aquatics Supervision
___Soil & Water Conservation MB
___ Red Cross Lifeguard (date)________
___Fishing/Fly Fishing MB
___ NCS-Aquatics Director (date)________
___NCS-Ecology (date)__________
Other__________________________________________
Other Training:__________________________
______________________________________
Shooting Sports
Handicraft
___ Archery MB
___Art MB
___ Rifle Shooting MB
___Basketry MB
___ Shotgun Shooting MB
___Architecture MB
___ NCS-Shooting Sports (date)________
___Pottery MB
___ NRA Certification:______________
___Sculpture MB
Other__________________________________________
___Woodcarving MB
___Leatherworking MB
Outdoor Skills
Other_________________________________
___Camping MB
___Cooking MB
High Adventure Experience
___Emergency Preparedness MB
___Trek Safely
___Orienteering MB
___Mountain Biking
___Pioneering MB
___NCS-Trek Leader (date)_______
___Wilderness Survival MB
___ATV Training
___NCS-Outdoor Skills (date)__________
( ) ASI Training Date___________
___GPS Skills
Other_________________________________
C.O.P.E / Climbing
Program Experience
___Climbing MB
___Song Leading
___COPE Participant
___Bugling
___COPE Instructor Level II
___Campfire Leadership
___COPE Instructor Level I
___Leading Games
___Climbing Instructor Level II
___ NCS-Program Director (date)______
___Climbing Instructor Level I
___National Camping School:_______________________
Training
___NYLT (date)___________
Medical Experience
___Webelos Den Chief
___First Aid MB
___CIT (year)______________
___CPR Trained (date)______________
___Youth Protection (date)___________
___Paramedic
___Trainers EDGE (date)____________
___EMT
___Leave No Trace
___Nurse ( )LPN ( )RN
( )LNT Awareness
___First Responder
( )LNT Trainer
___Wilderness First Aid (WFA)
( )LNT Master Educator
___Wilderness First Responder (WFR)
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