APPLICATION FOR MERIT BADGE
TROOP RECORD
Scout's Name _______________________________________
Address _______________________________________
City / State / Zip _______________________________________
Troop 28
Impessa District
Occoneechee Council
The above applicant is qualified to begin working on the ______________________________________ merit badge.
Date ____ / ____ / ________ Signature of unit leader _______________________________
|
Requirement no. and letter |
Date of Approval |
Counselor Initial |
Requirement no. and letter |
Date of approval |
Counselor initial |
||
Applicant ____________________________________ has completed the requirements for the
_____________________________________________ Merit badge on ____/ ____ / __________.
Counselor's Signature ____________________________ Date ____ / ____ / ________
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Checked and recorded
Date ____ / ____ / ________ Initials ________