ALLOHAK COUNCIL BOY SCOUTS OF AMERICA

MERIT BADGE COUNSELOR APPLICATION

UNIT #________________ DISTRICT__________________________________________(NA if not affiliated with a unit)

(Please print or type the following information. Please show your full name (no nicknames)

NAME:______________________________________________ BIRTH DATE______________________

ADDRESS______________________________________________________________________________

CITY/STATE/ZIP________________________________________________________________________

OCCUPATION___________________________________________________________________________

HOME E-MAIL:______________________________WORK E-MAIL:_____________________________

SOCIAL SECURITY NUMBER_____________________________________________________________

PHONE (Home)____________________________ (Work)_______________________________________(Circle the one you want used for the boys to contact you)

I wish only to work with only _________ I wish to work with all units_______________(Unit#)

All Merit Badge Counselors must be a registered member of the Boy Scouts of America. Even if you are already

registered in another position and this is your first time registering as a Merit Badge Counselor, you must complete

a BSA Adult Application form with the Position Code of “42” (for Merit Badge Counselor). Merit Badge Counse-

lors registration will end on the last day of each year and will not be renewed without your written authori-

zation.By signing the back of this form, you agree to the following standards:

As a Merit Badge Counselor, I will:Examine the latest revision of the BSA Merit Badge pamphlet for each Merit Badge I select on the list

attached to this.

Require the Scout to complete all and only all of the requirements.

Counsel the Scout to:

A. Keep his appointment

B. Be in uniform

C. Bring a legibly filled out Merit Badge Application card signed in ink by his unit leader or designee.

D. In keeping with BSA Youth Protection Guidelines, bring an adult to every counseling session we

have.

Notify the Allohak Council Registrar when I no longer want to serve as a Merit Badge Counselor,

Allow my name and phone number to be published on the Allohak webiste so that I may be contacted by

Scouts wishing to take a Merit Badge.

1.

2.

3.

4.

5.

Allohak Council - 1340 Juliana Street - Parkersburg, WV 26101

304.422.4507 - 800.654.5272

www.allohak.org scout@allohak.org

MERIT BADGE SUBJECTS

To provide boys an opportunity to meet and interact with as many different qualified adults as possible during the

Scouting years, it is recommend that no counselor counsel for more than six (6) merit badge subjects.

Please list your qualification(s) for the Merit Badge(s) subject you have checked (add additional sheets if needed)

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

As a Merit Basdge Counselor, I agree to follow the standards listed on the previous page.

Signature___________________________________________________ Date____________________

American Business

American Cultures

American Heritage

American Labor

Animal Science

Animation

Archaeology

Archery

Architecture

Art

Astronomy

Athletics

Atomic Energy

Automobile Maintenance

Aviation

Backpacking

Basketry

Bird Study

Bugling (See Music)

Camping

Canoeing

Chemistry

Chess

Cinematography

Citizenship Community

Citizenship Nation

Citizenship World

Climbing

Coin Collecting

Collections

Communications

Composite Materials

Computers

Cooking

Crime Prevention

Cycling

Dentistry

Digital Technology

Disability Awareness

Dog Care

Drafting

Electricity

Electronics

Emerg Prep

Energy

Engineering

Entrepreneurship

Environmental Science

Exploration

Family Life

Farm Mechanics

Fingerprinting

Fire Safety

First Aid

Fish & Wildlife

Fishing

Fly Fishing

Forestry

Game Design

Gardening

Genealogy

Geocaching

Geology

Golf

Graphics Arts

Hiking

Home Repairs

Horsemanship

Indian Lore

Insect Study

Inventing

Journalism

Kayaking

Landscape Archtec

Law

Leatherwork

Lifesaving

Mammal Study

Medicine

Metalwork

Mining in Society

Model Design/Bld

Motorboating

Moviemaking

Music

Nature

Nuclear Science

Oceanography

Orienteering

Painting

Personal Fitness

Personal Mgment

Pets

Photography

Pioneering

Plant Science

Plumbing

Pottery

Programming

Public Health

Public Speaking

Pulp & Paper

Radio

Railroading

Reading

Reptile & Amphib

Rifle Shooting

Robotics

Rowing

Safety

Salesmanship

Scholarship

Scouting Heritage

SCUBA Diving

Sculpture

Search & Rescue

Shotgun Shooting

Signs, Signals & Codes

Skating

Small Boat Sailing

Snow Sports

Soil & Water Conserv

Space Exploration

Sports

Stamp Collecting

Surveying

Sustainability

Swimming

Textile

Theater

Traffic Safety

Truck Transportation

Vetenirary Medicine

Water Sports

Weather

Welding

Whitewater

Wilderness Survival

Wood Carving

Woodwork

As of 7/24/14