Scout Application

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Wait to fill out when undated to 2022
SCOUT APPLICATION 2021
and leadership request form
* Required field

* Indicates required field

Your Formal Name *

First

Last

First Name you are know by: *

Home Troop # *

Enter T-xxxx, where xxxx is your Troop Number

Scouts Phone Number *

Can we text this number? *

YES NO

School Attending *

Scouts Email: *

Choose how old will you be on May 24, 2021? *

How many years of MISST service. *

What years did you provide MISST service? *

Example: 2015, 2016, 2017. NA if new.

Birth Date:

Month *

Day *

Year *

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 24, 2021. *

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. *

NA if you did not hold a position.

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: *

Fathers name: *

First

Last

Father's Email *

Mother's Name *

First

Last

Mother's Email *

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

If you play any of these check if want to be in: *

The Drum and Bugle Corp.? Anyone who plays a drum or bugle (trumpet) The Drum and Bugle Patrol? (Must have one year of MISST service.)

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.

Choose your 1st choice Leadership Position for which you are applying. *

Senior Patrol Leader Assistant Senior Patrol Leader Patrol Leader Assistant Patrol Leader Drum & Bugle Corp. Patrol Leader Drum & Bugle Corp. Assistant Patrol Leader Quartermaster Patrol Leader Quartermaster Assistant Patrol Leader Buglar Chaplain Aide Marching Instructor Flag Instructor Scribe Historian

Why do you want to hold this position? What are you qualifications? *

Check all postitions you would be willing to hold. *

Senior Patrol Leader Assistant Senior Patrol Leader Patrol Leader Assistant Patrol Leader Drum & Bugle Patrol Leader Drum & Bugle Assistant Patrol Leader Quartermaster Patrol Leader Quartermaster Assistant Patrol Leader Bugler Chaplain Aide Marching Instructor Flag Instructor Scribe Historian

What are your qualifications for these Positions? *

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

Comment *

Submit

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Wait to fill out when undated to 2022SCOUT APPLICATION 2021and leadership request form* Required field

Wait to fill out when undated to 2022
SCOUT APPLICATION 2021
and leadership request form
* Required field