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 ____ / ____ / ________

*****************************************************************************************

Checked and recorded

Date ____ / ____ / ________ Initials ________