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2019 Adult Leader request form
NO COMMITMENT until accepted
We will call you when you are accepted.
*
Indicates required field
Home Troop #
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Enter T-xxxx, where xxxx is your Troop Number
Home Troop Leadership Position
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Committee Chair, Committee Member, Scoutmaster, Assistant Scoutmaster, Chaplain, etc
Your Name
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First
Last
Month
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January
February
March
April
May
June
July
August
September
October
November
December
Day
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1
2
3
4
5
6
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8
9
10
11
12
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14
15
16
17
18
19
20
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22
23
24
25
26
27
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31
Year
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Example: 1954
Number of Years of service on the Island.
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0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21+
Years of MISST Service.
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NEW, or example: 2000, 2004 or 2000 - 2017
Choose the Leadership Position for which you are applying.
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Patrol Advisor
Assistant Scoutmaster
Chef
Sou Chef
Health Officer
Music Advisor
Where ever needed.
Committe Member
Why do you want to hold this postion. What are your qualifications?
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Check all postitions you would be willing to hold.
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Patrol Advisor
Assistant Scoutmaster
Chef
Sou Chef
Health Officer
Music Advisor
Where ever needed
What are your qualifications for these positions?
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List past positions held with MISST.
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List positions held in your home troop.
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List other Organiations and positions.
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Additional information
Make any additional comments and/or upload a more detail letter.
Comment
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Phone Number
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Can we text this number?
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YES
NO
Email
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By submitting this Request Form I agree to fill out my 2019 Application as soon as it becomes available.
Submit