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2019 Youth Leader Request form
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Indicates required field
Home Troop #
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Enter T-xxxx, where xxxx is your Troop Number
How old will you be on the island May 25, 2020?
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Less than 13
13
14
15
16
17
18
Your Name
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First
Last
Birth Date:
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
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
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2000
2001
2002
2003
2004
2005
2006
Number of Years of service on the Island.
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0
1
2
3
4
5
6
7
What years did you provide MISST Service.
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Example: 2014, 2015 or 2013 - 2017
Choose the Leadership Position for which you are applying.
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Senior Patrol Leader
Assistant Senior Patrol Leader
Patrol Leader
Assistant Patrol Leader
Drum & Bugle Corp. Patrol Leader
Drum & Bugle Corp. Assistant Patrol Leader
Quartermaster Corp. Patrol Leader
Quartermaster Corp. Assistant Patrol Leader
Buglar
Chaplain Aide
Marching Instructor
Flag Instructor
Scribe
Historian
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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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?
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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 phone number?
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YES
N0
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
