06/09/03                                                      
                         Individual History Data Collection Form                          
                                        Troop 453                                         
 
Name:  _____________________________ 
 
    Scout                                      1st Class                                  
    1.   Age Requirement          __/__/__     1.   Find Way w/o Compass     __/__/__     
    2.   Application Forms        __/__/__     2.   Orienteering Course      __/__/__     
    3.   Find a Troop             __/__/__     3.   Activity Requirement     __/__/__     
    4.   Pledge of Allegiance     __/__/__     4a.  Plan Patrol Menu *       __/__/__     
    5.   Demo Scout Sign, etc     __/__/__     4b.  Make Food List *         __/__/__     
    6.   Demo Square Knot         __/__/__     4c.  Cooking Utensils/Gear *  __/__/__     
    7.   Scout Oath, Law, etc     __/__/__     4d.  Safe Food Handling *     __/__/__     
    8.   Describe Scout Badge     __/__/__     4e.  Serve As Patrol Cook     __/__/__     
    9.   Pamphlet Exercises       __/__/__     5.   Visit Civic Leader       __/__/__     
    10.  Scoutmaster Conference   __/__/__     6.   Identify Native Plants   __/__/__     
                                               7a.  Discuss Lashings *       __/__/__     
    Tenderfoot                                 7b.  Demonstrate Lashings     __/__/__     
    1.   Prepare to Camp          __/__/__     7c.  Make Camp Gadget         __/__/__     
    2.   Camp and Pitch Tent      __/__/__     8a.  Demo Rescue Knot         __/__/__     
    3.   Prepare/Cook Meal *      __/__/__     8b.  Demo Bandages            __/__/__     
    4a.  Demo Whip/Fuse Rope      __/__/__     8c.  Moving The Injured       __/__/__     
    4b.  Demo Hitch Knots         __/__/__     8d.  Heart Attacks/CPR        __/__/__     
    5.   Explain Hiking Rules     __/__/__     9a.  Safe Trip Afloat *       __/__/__     
    6.   Demo Flag Care           __/__/__     9b.  BSA Swimmer Test *       __/__/__     
    7.   Scouting Principles      __/__/__     9#.  Demo Water Survival #    __/__/__     
    8.   Patrol Knowledge         __/__/__     9c.  Show Line Rescue *       __/__/__     
    9.   Explain Buddy System     __/__/__     10.  Scout Spirit             __/__/__     
    10a. Physical Fitness Test    __/__/__     11.  Scoutmaster Conference   __/__/__     
    10b. Show Improvement         __/__/__     12.  Board Of Review          __/__/__     
    11.  Identify Poison Plants   __/__/__                                                
    12a. Heimlich Maneuver        __/__/__     Star                                       
    12b. Show First Aid           __/__/__     -    Participation            __/__/__     
    13.  Scout Spirit             __/__/__     -    Scout Spirit             __/__/__     
    14.  Scoutmaster Conference   __/__/__     -    _______________ MB       __/__/__     
    15.  Board of Review          __/__/__     -    _______________ MB       __/__/__     
                                               -    _______________ MB       __/__/__     
    2nd Class                                  -    _______________ MB       __/__/__     
    1a.  Map and Compass Use      __/__/__     -    _______________ MB       __/__/__     
    1b.  Map and Compass Hike     __/__/__     -    _______________ MB       __/__/__     
    2a.  Activity Requirement     __/__/__     -    Service Project          __/__/__     
    2b.  Select Camp Site         __/__/__     -    Pos'n of Responsibility  __/__/__     
    2c.  Use of Knife/Saw/Axe     __/__/__     -    Scoutmaster Conference   __/__/__     
    2d.  Prepare Cook Fire        __/__/__     -    Board of Review          __/__/__     
    2e.  Fire and Stove Safety *  __/__/__                                                
    2f.  Light Fire and Stove *   __/__/__     Life                                       
    2g.  Cook Over Wood Fire *    __/__/__     -    Participation            __/__/__     
    3.   Flag Ceremony            __/__/__     -    Scout Spirit             __/__/__     
    4.   Service Project          __/__/__     -    _______________ MB       __/__/__     
    5.   Identify Wild Animals    __/__/__     -    _______________ MB       __/__/__     
    6a.  Handle 'Hurry' Cases     __/__/__     -    _______________ MB       __/__/__     
    6b.  Make First Aid Kit       __/__/__     -    _______________ MB       __/__/__     
    6c.  Show First Aid           __/__/__     -    _______________ MB       __/__/__     
    7a.  Swimming Precautions     __/__/__     -    Service Project          __/__/__     
    7b.  Demo Swim Ability *      __/__/__     -    Pos'n of Responsibility  __/__/__     
    7c.  Demo Water Rescue *      __/__/__     -    Scoutmaster Conference   __/__/__     
    8.   Drug/Alcohol Program     __/__/__     -    Board of Review          __/__/__     
    9.   Scout Spirit             __/__/__                                                
    10.  Scoutmaster Conference   __/__/__                                                
    11.  Board of Review          __/__/__                                                
06/09/03                                                                        (Page 2) 
                         Individual History Data Collection Form                          
 
    Eagle                                      -    Scoutmaster Conference   __/__/__     
    -    Participation            __/__/__     -    Board of Review          __/__/__     
    -    Scout Spirit             __/__/__                                                
    -    _______________ MB       __/__/__     Palm in Progress (__________ Palm)         
    -    _______________ MB       __/__/__     -    Participation            __/__/__     
    -    _______________ MB       __/__/__     -    Scout Spirit             __/__/__     
    -    _______________ MB       __/__/__     -    _______________ MB       __/__/__     
    -    _______________ MB       __/__/__     -    _______________ MB       __/__/__     
    -    _______________ MB       __/__/__     -    _______________ MB       __/__/__     
    -    _______________ MB       __/__/__     -    _______________ MB       __/__/__     
    -    _______________ MB       __/__/__     -    _______________ MB       __/__/__     
    -    _______________ MB       __/__/__     -    Demo Leadership          __/__/__     
    -    _______________ MB       __/__/__     -    Scoutmaster Conference   __/__/__     
    -    Pos'n of Responsibility  __/__/__     -    Board of Review          __/__/__     
    -    Eagle Project            __/__/__                                                
 
                                     Earned Palm List                                     
 
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 
                                 Additional Merit Badges                                  
 
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  ___________ __/__/__  
 
                              Activities/Order of the Arrow                               
 
Nights Camping: _____              OA Election: __/__/__ Call Out:    __/__/__ 
Miles Hiking:   _____              Ordeal:      __/__/__ Brotherhood: __/__/__ 
Service Hours:  _____              Vigil:       __/__/__ Vigil Name:  ___________________ 
 
                                    Leadership History                                    
 
   _______________  __/__/__  -  __/__/__     _______________  __/__/__  -  __/__/__     
   _______________  __/__/__  -  __/__/__     _______________  __/__/__  -  __/__/__     
   _______________  __/__/__  -  __/__/__     _______________  __/__/__  -  __/__/__     
 
                                     Training Courses                                     
 
            _______________  __/__/__              _______________  __/__/__              
            _______________  __/__/__              _______________  __/__/__              
            _______________  __/__/__              _______________  __/__/__              
 
                                      Special Awards                                      
 
            _______________  __/__/__              _______________  __/__/__              
            _______________  __/__/__              _______________  __/__/__              
            _______________  __/__/__              _______________  __/__/__