PENN-DEL DISTRICT TRAINING INFORMATION FORM

DO NOT USE - NOT READY

COMMANDERS INFORMATION

Is this a new form, or an updated form?

New

Updated

Last Name:

First Name:

MI:

Male/Female

M

F

Street Address:

City:

State:

Zip Code:

Home Phone#

Email Address:

CHURCH INFORMATION

Name:

Street Address:

City:

State:

Zip code:

Division:

East

West

Section:

Outpost Number:

Chartered?

Yes

No

TRAINING (check all that apply)

Old Training:

Leaders Medal of Achievement- Buck/SA (Red)

Leaders Medal of Achievement- Regular (Blue)

National Training:

Buckaroo/SA Training Camp (BSTC)

Ranger Kids Training Conference (RKTC)

National Training Camp (NTC)

Advanced National Training Camp (ANTC)

Winter National Training Camp (WNTC)

National Training Trails (NTT)

National Canoe Expedition (NCE)

National Aquatics Camp (NAC)

Training Chief (currently):

Certified Instructor (CI)

Instructor Trainer (IT)

General Comments

Any other information you wish to share:

Indicates Response Required


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