Nomination for Firecrafter Adult Alumni Association
Nomination may be made by any Firecrafter (Adult or Youth) but must be submitted before March 15 to be considered.

The Nominee must meet the following requirements:
- be at least 21 years of age
- registered Scouter
- demonstrated interest in the outdoor program of Scouting
- completed all training necessary for their position

Date:
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Ember *
District:
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Nominee's First Name: *
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Nominee's Middle Name:
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Nominee's Last Name: *
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Nominee's Age:
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Address:
Number, Street, Apt#, etc
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City
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State
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Zip Code
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Phone Number:
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Email Address:
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Number of years registered as a Scouter:
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List month and year first registered:
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If applicable, number of years registered as a Boy Scout Leader:
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List month and year first registered:
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Position for which they are currently registered:
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Unit #:
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Date Completed Youth Protection Training: *
All candidates must have completed this training.
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Date Completed Basic Leader Requirements: *
All candidates must have completed this training.
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Date Completed Position-Specific Training *
Nominee must have completed this training for their current registered position.
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List any other positions or trainings:
i.e. Wood Badge, Voyager, etc.
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Number of years at a Crossroads of America Council (CAC) long-term Boy Scout Camp as an Adult Leader:
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List the actual years the candidate attended a CAC long-term Boy Scout Summer Camp:
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Did the candidate help youth with Firecrafter Ranks?
If yes, briefly explain how:
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How many years at other long-term non-CAC Boy Scout Summer Camps:
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Did the candidate attend Webelos Camp?
Did the candidate attend Cub Day Camp?
Was the Nominee a Scout as a Youth?
If yes, what Scout Rank did he attain?
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What Council was he in?
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What Unit was he with?
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Approximate number of years registered as a youth Scout:
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Did he earn Camper or Woodsman as a youth?
Does the Scouter provide strong service to Scout's camping?
Does the Scouter work well with Scouts?
Does the Scouter work well with other Scouters?
Does the Scouter consistently demonstrate outstanding service to Scouts?
Please explain why the Candidate should be considered for membership in Firecrafter
If additional room or information needs to be provided please email it to Counciladvisor@gmail.com
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Nominator's Name: *
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Nominator's Phone #:
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Nominator's Email Address:
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Nominator's Street Address:
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Nominator's City, State, Zip:
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Year Nominator attained Firecrafter:
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