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Troop 453 Application for Scoutmaster Conference

(Please hand in this form to Patrol ASM first)

 

Scout Name  ______________________    Patrol ______________   Date __________

Phone Number    __________________      E-mail Address  ______________________

Current Rank      __________________      Rank for SMC    ______________________

 

 

Patrol ASM Name ____________________________               Date _______________

Comment

 

 

 

 

 

 

Approval:  YES ____; NO ____; N/C ____             Signature  ____________________

 

 

SM Name ____________________________                           Date _______________

Comment

 

 

 

 

 

 

Approval:  YES ____; NO ____; N/C ____            Signature _____________________

 

 

ASM Name ____________________________                         Date _______________

Comment 

 

 

 

 

 

 

Approval:  YES ____; NO ____; N/C ____            Signature _____________________

 

 

Notification

Scout

Parents

Committee

Date

 

 

 

By