Outdoor Leader Skills Information Form
Please fill out the following information to help us better understand your scouting background and have the best possible course.
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First Name *
Last Name *
Email Address *
Gender *
Required
Unit Type *
Unit Number *
Chartered Organization
District (within Mecklenburg County Council) or Out of Council *
Out of Council - Council and District Name
Current Registered Position *
Years as Youth Scout
Years as Adult Leader
BSA Member Id
How Comfortable are you with Camping (1-least to 10-most) *
Eagle Scout *
Required
Year Earned Eagle Scout
Age *
Home Phone
Cell Phone
Employer
Home Street Address *
City *
State *
Required
Zip Code *
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