Individual Boy Scout Record Form Page 2

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5. Citizenship w/ local figure ____
ADVANCEMENT
6. Identify 10 native plants
____
_________________________________________________
7a. Timber/clove hitch/lashings____
REQUIREMENTS
Scout’s Name
7b. Lash a camp gadget
____
8a. Bowline knot
____
TROOP POSITIONS OF RESPONSIBILITY
Enter Date earned for each merit
8b. Bandages
____
badge,
rank,
and
individual
From
To
8c. Transporting a victim
____
requirement.
Indicate
specific
Patrol Leader .................................... ____/____
____/ ____
8d. 5 signals of heart attack
____
skills and merit badges earned for
9a. Safe trip afloat
____
Venture Patrol Leader ....................... ____/____
____/ ____
each rank.
9b. Complete BSA swim test
____
Assistant Senior Patrol Leader ........... ____/____
____/ ____
9c. Line rescue in water
____
BOY SCOUT
Senior Patrol Leader ......................... ____/____
____/ ____
10. Encourage new member
____
Date
Troop Guide ..................................... ____/____
____/ ____
11. Internet safety
____
1. Joining Requirements
____
12. Scout Spirit & 4 examples ____
Order of the Arrow Troop Rep. ......... ____/____
____/ ____
2. Scoutmaster Conference
____
13. Scoutmaster Conference
____
Den Chief.......................................... ____/____
____/ ____
TENDERFOOT
14. Board of Review
____
Scribe ............................................... ____/____
____/ ____
Date
STAR
1.
Preparing to camp
____
Librarian ........................................... ____/____
____/ ____
Date
2.
Overnight camp
____
Historian........................................... ____/____
____/ ____
1. Active 4 months - First Class ____
3.
Preparing a meal
____
2. Demonstrate Scout Spirit
____
Quartermaster .................................. ____/____
____/ ____
4a. Whip & fuse a rope
____
3. 6 merit badges (4 Eagle req’ ***)
4b.Tie tautline & two half-hitches____
Bugler ............................................... ____/____
____/ ____
(1)_______________________***
4c. Using EDGE teach square knot____
Junior Assistant Scoutmaster ............ ____/____
____/ ____
(2)_______________________***
5.
Safe hiking rules
____
Chaplain Aide ................................... ____/____
____/ ____
(3)_______________________***
6.
Display & care for flag
____
(4)_______________________***
Instructor ......................................... ____/____
____/ ____
7.
Oath, Law, motto, slogan
____
(5)_______________________
Troop Webmaster............................. ____/____
____/ ____
8.
Patrol name, yell, flag
____
(6)_______________________
9.
Explain buddy system
____
Leave No Trace Trainer ..................... ____/____
____/ ____
4. 6 hour service project as Life ____
10a. Record physical tests
____
Note: Each of the positions of responsibility listed above can help fulfill
5. 4 month Troop Position
____
10b. Show 30 day improvement ____
requirements for the Eagle Scout Award.
6. Scoutmaster Conference
____
11. Local poisonous plants
____
7. Board of review
____
12a. Choking care
____
MERIT BADGE LIST
LIFE
12b. First aid
____
13. Scout spirit & 4 examples
____
Date
1. Camping
45. Dog Care
88. Plant Science
1. Active 6 months as Star
____
14. Scoutmaster Conference
____
2. Citizenship in the Community 46. Drafting
89. Plumbing
2. Demonstrate Scout Spirit
____
15. Board of Review
____
3. Citizenship in the Nation
47. Electricity
90. Pottery
3. 5 more merit badges (3 req’ ***)
4. Citizenship in the World
48. Electronics
91. Public Health
SECOND CLASS
(7)_______________________***
5. Communications
49. Energy
92. Public Speaking
Date
6. Cycling
50. Engineering
93. Pulp & Paper
(8)_______________________***
1a. Map & compass skills
____
7. Emergency Preparedness
51. Entrepreneurship
94. Radio
(9)_______________________***
1b. 5 mile map & compass hike ____
8. Environmental Science
52. Farm Mechanics
95. Railroading
(10)_______________________
2. Leave No Trace
____
9. Family Life
53. Fingerprinting
96. Reading
(11)_______________________
3a. 5 troop/patrol activities
____
10. First Aid
54. Fire Safety
97. Reptile & Amphibian
4. 6 hour service project as Star____
11. Hiking
55. Fish & Wildlife Management
. Study
3b. Sleep in tent you pitched
____
5. 6 month Troop Position
____
12. Lifesaving
56. Fishing
98. Rifle Shooting
3c. Wood tools
____
6. EDGE to teach young scouts ____
13. Personal Fitness
57. Fly-Fishing
99. Rowing
3d. Prepare cooking fire
____
14. Personal Management
58. Forestry
100. Safety
7. Scoutmaster conference
____
3e. Discuss campfire & stove
____
15. Swimming
59. Gardening
101. Salesmanship
8. Board of review
____
3f. Build fire /set up stove
____
16. American Business
60. Genealogy
102. Scholarship
EAGLE
3g. Plan/cook meal
____
17. American Cultures
61. Geocaching
103. Scouting Heritage
4. Flag ceremony
____
18. American Heritage
62. Geology
104. Scuba Diving
Date
1. Active 6 months as Life
____
19. American Labor
63. Golf
105. Sculpture
5. Min. 1 hour service project ____
20. Animal Science
64. Graphic Arts
106. Shotgun Shooting
2. Recommendations for Spirit____
6. Identify 10 wild animals
____
21. Archaeology
65. Home Repairs
107. Skating
3. 10 more merit badges (5 req’ ***)
7a. “Hurry” cases first aid
____
22. Archery
66. Horsemanship
108. Small-Boat Sailing
(12)______________________***
7b. Prepare first aid kit
____
23. Architecture
67. Indian Lore
109. Snow Sports
(13)______________________***
7c. First aid
____
24. Art
68. Insect Study
110. Soil & Water
(14)______________________***
8a. Safe swim precautions
____
25. Astronomy
69. Inventing
. Conservation
(15)______________________***
8b. Swimming skills
____
26. Athletics
70. Journalism
111. Space Exploration
(16)______________________***
27. Automotive Maintenance
71. Landscape Architecture
112. Sports
8c. Water rescue techniques
____
28. Aviation
72. Law
113. Stamp Collecting
(17)_______________________
9a. Dangers of drugs
____
29. Backpacking
73. Leatherwork
114. Surveying
(18)_______________________
9b. Three R’s of personal safety ____
30. Basketry
74. Mammal Study
115. Textile
(19)_______________________
10. Earn & save money
____
31. Bird Study
75. Medicine
116. Theater
(20)_______________________
11. Scout spirit & 4 examples
____
32. Bugling
76. Metalwork
117. Traffic Safety
(21)_______________________
12. Scoutmaster Conference
____
33. Canoeing
77. Model Design & Building
118. Truck Transportation
4. 6 month Troop Position
____
13. Board of Review
____
34. Chemistry
78. Motorboating
119. Veterinary Medicine
5. Eagle Scout Service Project ____
35. Cinematography
79. Music
120. Water Sports
FIRST CLASS
36. Climbing
80. Nature
121. Weather
6. Scoutmaster Conference
____
Date
37. Coin Collecting
81. Nuclear Science
122. Whitewater
7. Eagle Board of Review
____
1. Find direction - day & night
____
38. Collections
82. Oceanography
123. Wilderness Survival
2. Orienteering
____
39. Composite Materials
83. Orienteering
124. Wood Carving
BRONZE PALM
____
3. 10 troop/patrol activities LNT ____
40. Computers
84. Painting
125. Woodwork
GOLD PALM
____
41. Cooking
85. Pets
126. Carpentry
4a. Plan menu for campout
____
42. Crime Prevention
86. Photography
127. Pathfinding
4b. Purchase food for campout ____
SILVER PALM
____
43. Dentistry
87. Pioneering
128. Signaling
4c. Cooking gear
____
44. Disabilities Awareness
129. Tracking
4d. Safe food handling
____
Revised Feb 2011
Merit badges on required list for Eagle are in boldface.
th
Based on Boy Scout Handbook 12
Edition
4e. Be patrol cook on campout
____
th
Merit badges in italics are 100
Anniversary Historic Merit Badges.

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