Required information is highlighted.

District BSA ID# (If you don't have your membership card, call 619.298.6121 to get your ID#)
Are you renewing this application from last year? Yes No
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Boy Scouts of America
MERIT BADGE COUNSELOR INFORMATION

Name Age Business phone
Address Home/Cell phone
City State Zip code
email

To qualify as a merit badge counselor, you must
  • Be at least 18 years old.
  • Be proficient in the merit badge subject by vocation, avocation, or special training.
  • Be able to work with Scout-age boys.
  • Be registered with the Boy Scouts of America.
  • Be current (two year certificate) in Youth Protection Training.
 As a merit badge counselor, I agree to
  • Follow the requirements of the merit badge, making no deletions or additions, ensuring that the advancement standards are fair and uniform for all Scouts.
  • Have a Scout and his buddy present at all instructional sessions.
  • Renew my registration each January if I plan to continue as a merit badge counselor.
  • Follow Youth Protection Training guidelines.


List merit badge subjects here Vocation
Is this subject in line with your job, business, or profession? If yes, give brief information. 		Avocation
Do you follow this subject as a hobby, having more than a "working knowledge" of the requirements? If yes, give brief information. 		Special Training
If not, do you have any special training or other requirements for this subject? If yes, give brief information.
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There is no fee for becoming a merit badge counselor. You need only to submit this form and a BSA Adult Application form upon initial registration. Confirmation of your continued interest in serving as a merit badge counselor should be resubmitted each January.


Youth Protection Training Date Attach a copy of your certificate if your YPT has lapsed or if you are registering as a merit badge counselor for the first time.
Attach YPT Certificate:

CHECK ONE:
I wish to work only with unit . I wish to work with all units.

Note: The BSA Adult Registration Application (English or Spanish) must be attached (Position: Merit Badge Counselor; Position Code:42) if you are not registered/registering elsewhere in the council.
Attach Adult Application: