Scout Application

Your Formal Name *

First

Last

First Name you are know by: *

Home Troop # *

Scouts Phone Number *

Can we text this number? *

YES NO

School Attending *

Are you male or female? *

Male Female

How many years of MISST service. *

What years did you provide MISST service? *

ADDRESS *

Line 1

Line 2

City

State

Zip Code

Country

List any Medical, Dietary, or Food allergy we should be aware of. *

Why have you decided to participate in the Mackinac experience? *

What do you expect to gain from the experience? *

Current Rank *

List Leadership Positions held in your home troop *

Order of the Arrow Membership and offices *

RANK Expected on May 30, 2022. *

Scouting Awards *

Scouting Training (Courses taken and dates) *

List any ather Extra Curricular Activities and other Organizations and Positions you have held. *

List past positions held with MISST if any. *

1st Alternate Phone Number *

Can we text this number? *

YES NO

1st Altenate Phone Number belongs to: *

2nd Alternate Phone Number *

Can we text this number? *

YES NO

2nd Alternate Phone Number belongs to: *

Home Scoutmaster's Name *

Scoutmaster's Phone Number *

Who was the influencing person who encouraged you to apply this year for our troop? *

Check if you are you certified in: *

CPR First Aid

Are you interested in serving on the Quartermaster Corp.? Boys with at least one year of MISST service ONLY *

Yes NO

Do you Play any of these? *

Bugle Trumpet Drums

ALL YOUTH: The information above is required for all applying to go to Mackinac Island for this season.

Complete the information below only if you are applying for a LEADERSHIP position.
If you are not applying for a Leadership portion skip to the bottom
and click on the submit button.

ADDITIONAL INFORMATION
Make any additional comments and/or upload a more detail letter.

SCOUT APPLICATION 2022and leadership request form* Required field

SCOUT APPLICATION 2022
and leadership request form
* Required field