Reverence Survey
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Thank you for taking time to fill out our Reverence Survey!
As Scouts, we pledge to “Do our duty to God.”  Through advancements many of our Scouts reflect on this ideal and participate in Religious Emblem programs.  The twelfth point of the Scout Law is that “A Scout is Reverent.”  

However, we have recently come to realize that during our registration process, our Council does not collect information on the faith affiliation of our Scouts.  As a result, we do not have any demographic information available on our Scouts in order to inform them of opportunities to grow in their faith.  Please take a few moments to fill out this survey.  Once we gather this information, we will distribute the information to the staff members and volunteers who are responsible for the respective faith affiliations.  

We appreciate your assistance in this matter.  If you have any questions, you can contact Stephen Becker at 319-234-2867 or stephen.becker@scouting.org.

Name *
What is your name?
Age *
Are you an adult or a youth?
 Street Address *
What is your street address?
City and Zip *
Please list your city and zip
Email *
Please provide your email address.
Unit Type *
Choose one even if you are involved in more than one area.
Unit Number
What is your unit number?
Faith *
What is your faith affiliation?
Facility *
What is the name and city of your house of worship?
I'd love to help
Comments
Please add any additional comments here.
Save the Date!
January 19 – Archdiocesan Catholic Scouting Mass, 2 p.m. at St. Raphael Cathedral, Dubuque
February 2 – Scout Sunday
February 8 – Scout Sabbath
April 26 – Lutheran Association on Scouting Retreat for All Lutheran Scouts


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