Instructions for completing BSA form 28-501G
Fill out area in grey completely.

For those registering as Patuxent District Merit Badge Counselors for the Merit Badge Day,
Enter at the the top:
Council/District/Division position:
  Merit Badge Counselor
  
The District Name is Patuxent

For those who have an affiliation with BSA other than Merit Badge Counselor, use
the position description listed below.  The box marked "Position Code" is filled
with the first two characters of the list.  Merit Badge Counselors enter "42".

CODE DESCRIPTION 
10 Blazer Scout Leader 
11 Council President 
12 Council Vice-President 
13 Council Treasurer 
14 Council Asst Treasurer 
15 Council Commissioner 
16 Asst Council Commissioner 
41 Council Executive Board 
42 Merit Badge Counselor 
44 Council Honorary Mbr 
45 Council Associate Mbr 
46 Council Advisory Mbr 
47 Council Committee Mbr 
48 Council Member at Large 
49 Camp Staff 
54 Council Employee 
55 Council Staff 
61 District Chairman 
62 District Vice Chairman 
64 Neighborhood Chairman 
65 Neighborhood Committee 
75 District Member at Large 
79 District Committee Mbr 
80 Unit Commissioner 
81 District Commissioner 
82 Asst District Commissioner 
83 Roundtable Commissioner 
84 Roundtable Staff 
87 Scout Supplier 
88 Lone Cub Scout Counselor 
91 Scouter Reserve 
92 College Scouter Reserve 
95 Scout Alumnus 
96 Lone Boy Scout Counselor 
98 Exploring Committee 
99 Exploring Service Team 
AA Associate Advisor 
AT Assistant Teacher/Parent 
CA Assistant Cubmaster 
CC Committee Chairman 
CM Cubmaster 
CR Chartered Org. Rep. 
CT Class Teacher 
DA Assistant Den Leader 
DC Den Leader Coach 
DL Den Leader 
EA Explorer Advisor 
GR Tiger Cub Adult 
IH Executive Officer 
LT Lead Teacher 
MC Committee Member 
MT Mate 
SA Assistant Scoutmaster 
SC School Coordinator 
SK Skipper 
SM Scoutmaster 
SP School Principal 
TC Tiger Cub Group Coach 
VA Asst Varsity Scout Coach 
VC Varsity Scout Coach 
WA Asst Webelos Den Leader 
WL Webelos Den Leader 

Training:
This is for Boy Scout Leadership Training.  They include F-Fast Start (a video tape based training
program), B-Basic Training (classroom instruction for Boy Scout or Cub Scout Leaders, 1 day) or
T-for both.
Enter: (-) none, F, B or T.

Enter Background information 1 to 4.

5. Enter References (3 required).  Provide phone numbers for references on the same line with
the name.  Current Scout leaders may be used, but this is not necessary.  The coordinator
of the Merit Badge Day may serve as a reference.

6. Additional information: Circle Yes or No.

SIGNATURE Requred.

When the form is sent to the Merit Badge Dean, Council approvals will be added.  

Fees:
For Merit Badge Counselors, there is no fee.  However, if the counselor desires to receive
Boy Life Magazine, a fee of $9.00 is requested.  Scouting Magazine is an additional $2.00.