Lake Erie Council Boy Scouts of America Merit Badge Counselor Information
(Please type or print legibly)
Name* Primary phone* Home Cell Work
Address* Other phone Home Cell Work
City/state/zip* Other phone Home Cell Work
Email address* ____________________________________________ I do not have email. Age
District Unit: Troop Team Crew Ship No. BSA ID
I am not affiliated with a district. I am not affiliated with a unit.
*required fields* Primary phone and email address indicate how Scouts should contact you.
To qualify as a merit badge counselor, you must: Be at least 18 years old and of good character. Be registered with the Boy Scouts of America (position code 42). Complete Youth Protection training. Be recognized as having the skills and education in the merit
badge subjects covered and hold any required qualifications and training as outlined in the Guide to Safe Scouting or the Guide to Advancementor use others so qualified.
Be able to work with Scout-age boys.
As a merit badge counselor, I agree to: Follow the requirements of the merit badge, making no
deletions or additions, ensuring that the advancement standards are fair and uniform for all Scouts.
Have a Scout accompanied by his buddy during all instructional sessions.
Keep my Youth Protection training current. Renew my registration annually if I plan to continue as a merit
Complete the List of Merit Badges on back of this form: Complete the following:
This is a new application (first time to register as a merit badge counselor). Attach this form to the BSA Adult Application, indicating position code 42.
This is a renewal or update to an existing list of merit badge subjects.I no longer wish to serve as a merit badge counselor.
I agree to work with:All ScoutsAll Scouts in these districts:
Only with Scouts in these units (indicate whether troop, team, or crew): Counselors are encouraged to be available to work with any Scout in any unit.
I plan to serve as a merit badge counselor for this event or outside organization:
Youth Protection Training Date: _____/_____/______ Merit Badge Counselor Orientation Training Date: _____/_____/______
Mail To: 2241 Woodland Ave. (FAX) 216-861-3431 Cleveland, Ohio 44115 E-Mail:firstname.lastname@example.org
Council Approval: Print Name: __________________________________ Position: ____________________________________ Date: _______________________________________ Signature: ___________________________________
District Approval: Print Name: __________________________________ Position: ____________________________________ Date: _______________________________________ Signature: ___________________________________
Lake Erie Council Merit Badge Listing 2017/18 American Business Digital Technology Journalism Reptile and Amphibian Study American Cultures Disabilities Awareness Kayaking++ Rifle Shooting ++ American Heritage Dog Care Landscape Architecture Robotics American Labor Drafting Law Rowing ++ Animal Science Electricity Leatherwork Safety Animation Electronics Lifesaving ++ Salesmanship Archaeology Emergency Preparedness Mammal Study Scholarship Archery ++ Energy Medicine Scouting Heritage Architecture Engineering Metalwork Scuba Diving ++ Art Entrepreneurship Mining in Society Sculpture Astronomy Environmental Science Model Design and Building Search & Rescue Athletics Exploration Motor Boating Shotgun Shooting ++ Automotive Maintenance Family Life Moviemaking Signs, Signals, and Codes Aviation Farm Mechanics Music Skating Backpacking Fingerprinting Nature Small-Boat Sailing ++ Basketry Fire Safety Nuclear Science Snow Sports Bird Study First Aid Oceanography Soil and Water Conservation Bugling Fish and Wildlife Management Orienteering Space Exploration Camping Fishing Painting Sports Canoeing ++ Fly Fishing Personal Fitness Stamp Collecting Chemistry Forestry Personal Management Surveying Chess Game Design Pets Sustainability Citizenship in the Community Gardening Photography Swimming ++ Citizenship in the Nation Genealogy Pioneering Textile Citizenship in the World Geocaching Plant Science Theater Climbing Geology Plumbing Traffic Safety Coin Collecting Golf Pottery Truck Transportation Collections Graphic Arts Programming Veterinary Medicine Communications Hiking Public Health Water Sports ++ Composite Materials Home Repairs Public Speaking Weather Cooking Horsemanship Pulp and Paper Welding Crime Prevention Indian Lore Radio Whitewater ++ Cycling Insect Study Railroading Wilderness Survival Dentistry Inventing Reading Wood Carving
Bold are Eagle Required ++ Merit Badges that have special qualifications or certifications. Lake Erie Council Advancement Committee recommends a limit of fifteen Merit Badges per Counselor. Exceptions must be approved by the District Advancement Chairman.
Merit BadgesFor more than ten merit badges,
attach additional sheets.
Add (A)Drop (D)
For each merit badge, list qualification(s) that support your request.Qualifications could include college degrees, formal training certificates,
positions held, and specific life experiences.
Lake Erie Council BSA Revised March 2018