Information for Applicant
A merit badge application can be approved only
by a registered merit badge counselor.
You must have a buddy with you (Scout buddy
system) at each meeting with the merit badge
counselor.
Turn in your approved application to your unit
leader. You will be awarded the merit badge
emblem and certificate at a suitable occasion.
Information for Counselor
Merit badge applications must be signed in
advance by the applicant’s unit leader.
The Scout’s buddy (Scout buddy system) must
also be in attendance at all instructional
sessions.
You may not change any requirement, but you
may share your knowledge or experience that
will make counseling more interesting and
valuable.
Counselor
Initial
Date of
approval
Requirement
No. and letter
Counselor
Initial
Date of
approval
Requirement
No. and letter
APPLICATION FOR
MERIT BADGE
Name _____________________________________
A
ddress ___________________________
_
_______
City ______________________________________
Email _____________________________________
Is a registered
Scout Venturer Sea Scout
of _______________________ No. ________
Troop, crew, ship
District ____________________________________
Council ___________________________________
I have discussed this merit badge with
this scout and recommended at least
one merit badge counselor.
__
________________________________________
Signature of unit leader Date
Leader’s Email ______________________________
34124
NOTE: This form requires Adobe Acrobat Reader to fill out the form. You may be able to open and
view the form in a browser, but not fill out and save. Adobe Acrobat Reader is available free for
Windows and Mac computers from https://get.adobe.com/reader/otherversions/. It will probably not
work on Chromebooks, smart phones, iPads, and other tablets.
To use this electronic blue card, we suggest the following process:
1) The Scout contacts the Scoutmaster to request a blue card.
2) The Scoutmaster, using Adobe Acrobat Reader, fills out the full right side of the first page
including a digital signature and the left side of the second page down through the email
address of the counselor (from the council provided merit badge counselor list or from
ScoutBook), and saves the document. The document name might include the Scout’s name,
merit badge, and troop number to make each unique such as Doe John First Aid 123.pdf.
3) The Scoutmaster emails the filled-out document to the Scout and to the merit badge counselor.
4) The Scout works with the merit badge counselor on the merit badge. As always, the Scout
must have a buddy at all meetings with the counselor. For electronic meetings (Zoom,
Facetime, Google Handouts, etc.) each Scout must have a buddy, such as a parent or sibling,
with them.
5) When the Scout finishes the merit badge, the counselor uses Adobe Acrobat Reader to
electronically sign the card in two places, fills in the date completed, and records any remarks
for their records. For partials, the counselor does not sign the card but fills out the center part
of the first page. The counselor saves the document and should keep this for their records
(printed or electronic).
6) The counselor emails the updated document to the Scout and the unit leader (emails are on
the blue card).
7) The unit leader uses Adobe Acrobat Reader to electronically sign the center of the second
page and emails the document to the Scout for their records and to the unit’s record keeper
who prints the document, records the merit badge in Scoutbook or other records, and records
on the unit’s copy when it has been recorded and presented.
Troop
click to sign
signature
click to edit
The applicant has personally appeared before me and
demonstrated to my satisfaction that all requirements
have been met for the (please print)
__________________________________________
Merit Badge
__________________________________________
Name of Counselor
__________________________________________
Address of counselor
__________________________________________
City Zip Code
__________________________________________
Telephone number of counselor
__________________________________________
Email address of counselor
__________________________________________
Signature of counselor Date
Checked and recorded:
__________________________________________
Date Initials
Date certificate and badge presented: ___________
Date
APPLICANT’S RECORD
Name_____________________________________
has given me this completed application for the
_
________________________________________
_
Merit badge
Completed on ____________________ by
Date
_
___________________
_
_____________________
Signature of counselor
_
________________________________________
_
Signature of unit leader
COUNSELOR’S RECORD
A
pplicant _________________________________
_
Troop
Crew Unit number _________________
Ship
_
________________________________________
_
Merit Badge
Date completed ___________________________
Remarks:
Applicant will turn this portion to his unit leader
for record posting.
NOTE TO SCOUT, VENTURER, OR SEA SCOUT:
Retain this copy for your permanent records.
It is suggested that the counselor keep this
record in case any question is raised later in
regard to this award.
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
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