VICTORIAN ROVER SCOUTS Application for the Presentation of the

Baden-Powell Scout Award

 

   

Part A: Personal Details  

Membership No               Region  

Name  NAME IN BLOCK LETTERS

Please ensure this is correct, as this is the name that will be inscribed on the certificate    Address  

Suburb   Postcode  

Phone   Mobile  

Email   Date of Birth    

Part B: Scouting Details and Experience  

Crew   Group  

District   Investiture Date  Joey Scouts Cub Scouts Scouts Venturer Scouts Rover Scouts

yrs yrs Yrs yrs yrs  

Part C: St George Award Details  

Award Component & Details Date

Squire Training Badge completion  Details

Rover Skills Badge completion  Details

Physical Badge completion  Details

Service Badge completion  Details

 

Part D: Baden-Powell Scout Award Details  

Award Component Date

St George Award completion  Community Development Badge completion  Details

Personal Growth Badge completion  Details

    Part E: Baden-Powell Scout Award Support Team – Self-Reflection Interview  

Award Component Date

Self-Reflection Interview    

Part F: Rover Crew Approval (please complete section below) I verify that the necessary qualifications as listed above have been completed and the Rover Crew recommends this applicant be awarded the Baden-Powell Scout Award

 

Name Position Signature Date

         

Part G: Region Rover Community – Notification

Name Position Signature Date

         

Part H: Victorian Rover Council – Endorsement

Name Position Signature Date

         

Part I: State Chief Commissioner – Approval

Name Signature Date

     _________________________________________________________________________________________________________________________________________   Part J: Badge Return (Rover Crew to Complete)

Following the approval by the State Chief Commissioner the BPSA Badges and Certificate should be sent to the person listed below who will arrange for the presentation to the Rover Scout.

 

Name Position

Address  

Suburb   Postcode  

Phone   Mobile  

Email    _________________________________________________________________________________________________________________________________________   Part H: State Office Use Only  

Date Applicant notified of outcome by Letter   Date CL, RA, GL, DC and RC advised

(Must be after Applicant has been advised)  

Date Award noted on Extranet Record  

   

 

 

 

 

Version 1, August 2014