Application for National Outdoor Badge
National Outdoor badge earned (check all that apply):
Camping Hiking Aquatics Riding Adventure
Is this the first National Outdoor badge you have earned? ___ Yes ___ No
(Center patch is earned with first badge.)
Device applied for (G for gold, S for silver; list all that apply):
_____ Camping _____ Hiking _____ Aquatics _____ Riding _____ Adventure
Name of Scout: ______________________________________ Unit No. ____________
Street: _________________________________________________________________
City: _________________________________ State: ___________ Zip: ______
I have completed the requirements and apply for this award.
__________________________________ Date: __________________
Scout’s signature
I affirm that the above-named Scout has completed all of the requirements for the listed
National Outdoor badge(s) and device(s).
__________________________________ Date: __________________
Scoutmaster or Coach signature
This application should be turned in to the council service center for approval and
authority to obtain the National Outdoor badge.
LOCAL COUNCIL USE ONLY
Approved for issuance:
____________________________________ Date: _________________________
Authorized signature
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Application for
NATIONAL MEDAL FOR OUTDOOR ACHIEVEMENT
Name of Scout: ______________________________________ Unit No.: ____________
Local council name: ____________________________________________________
Scouts address:
Street _________________________________________________________________
City: _________________________________ State: ___________ Zip: ______
National Medal for Outdoor Achievement Requirement Date Completed/Leader’s Initials
1. Earn the First Class rank.
2. Earn the National Outdoor Badge for Camping with a silver device.
3. Earn any two additional National Outdoor badges, each with two
gold devices.
1st badge: ________________; 2nd badge: ________________
4. Earn the following merit badges: Backpacking, Emergency
Preparedness, Nature, and Wilderness Survival.
5. Complete a 16-hour course in Wilderness First Aid from the American
Red Cross, Wilderness Medical Institute, or other recognized provider.
6. Become a Leave No Trace Trainer by completing the 16-hour training
course from a recognized Leave No Trace Master Educator.
7. Plan and lead, with the approval of your unit leader, an outing for your
troop, team, patrol, or squad in two of the following activity areas:
hiking and backpacking, aquatic activities, or riding. Include in each
outing a service element addressing recreational impacts resulting
from that type of activity. With the approval of your unit leader, you
may plan and lead the outings for another Cub Scout pack, Boy Scout
troop, Varsity Scout team, Sea Scout ship, or Venturing crew.
8. Complete at least one of the following:
a. Plan and lead, with the approval of your unit leader, an adventure
activity identified in the National Outdoor Badge for Adventure
for your troop, team, patrol, or squad.
b. Successfully complete a season on a council summer camp
staff in an outdoor area, such as aquatics, Scoutcraft,
nature/environment, climbing, or COPE.
____________________/__________
____________________/__________
____________________/__________
____________________/__________
____________________/__________
____________________/__________
Date first trip: ___________________
Date second trip: _________________
____________________/__________
Option selected: ___ a; ___ b;
____________________/__________
I have completed the requirements and apply for the National Medal for Outdoor
Achievement.
__________________________________ Date: __________________
Scout’s signature
I affirm that the above-named Scout has completed all of the requirements for the
National Medal for Outdoor Achievement.
______________________________ Date: __________________
Unit leader’s signature
This application should be turned in to the council service center for approval and
authority to obtain the National Medal for Outdoor Achievement from the National
Council, Boy Scouts of America.
LOCAL COUNCIL USE ONLY
Application approved for submittal:
____________________________________ Date: _________________________
Scout Executive
NATIONAL COUNCIL USE ONLY
Approved for issuance:
____________________________________ Date: _________________________
Director, Outdoor Programs
430-509
2010 Printing
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