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National Capital Area Council
Ticket Cover Sheet
Wood Badge Ticket Cover Sheet
Participant's Full Name:
Address:
City:
Anne Souser
6315 Yosemite Drive
Alexandria
State: VA
Home Telephone 703-941-6293
Fax:
Zip:
22312-1141
Work Telephone:
e-mail: csouser@verizon.net
Participant's Home Council: NCAC_____ District: Old Dominion
Registered Scouting Position: Pack Committee Member
Unit: Pack 1115
-----------------------------------------------------------------------------------------------------------Course Number:
NE-IV-216 (NCAC 82-96) Dates: May 1-3 & June 12-14 2009
Course Location:
Camp Snyder - Haymarket, VA
-----------------------------------------------------------------------------------------------------------Troop Guide/Ticket Counselor:
Bob Vince - TG Bears
Counselor's Address:
7712 Sebago Road
City:
State: MD
Bethesda
Home Telephone:
301-229-2497
Zip:
Work Telephone:
20817
202-369-1436
Fax: BobVince@tulanealumni.net Email: BobVince@tulanealumni.net
-----------------------------------------------------------------------------------------------------------This Ticket is a road map I will follow as I apply the Wood Badge skills working toward
my personal vision as a leader in Scouting. I understand that when my Ticket Counselor
and I agree that I have accomplished all that I can toward these goals I will earn the
Wood Badge.
__________________________________
Participant's Signature
______________________________
Date
___________________________________
Troop Guide/Ticket Counselor's Signature
______________________________
Date
Page 1 of 9
Rev: 01/2009
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National Capital Area Council
Job Description Sheet
Wood Badge - My Job Description
Wood Badge training is designed to help you improve your leadership abilities and thus
do a better job in your normal Scouting assignment. Before starting Wood Badge
training write out a short but specific description of your job. If possible discuss it with
the others in your group before you come to Wood Badge.
Scouting Position (the job you consider your primary Scouting responsibility):
Pack Committee Member – Outdoor Program_______________________________
Job Description:
PACK OUTINGS CHAIR
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Help the Cubmaster plan and arrange for outdoor activities.
Arrange for property, fire, and tour permits when required.
Help Webelos den leaders plan Webelos overnight campouts. Help
arrange for equipment, as needed.
Plan outings to help pack and dens qualify for the National Summertime
Pack Award.
Help inform parents and guardians about opportunities for family camping.
Ensure that at least one adult has completed Basic Adult Leader Outdoor
Orientation (BALOO) (see Chapter 33, "Cub Scout Camping" in the Cub
Leader Book) before any pack campout.
Know and carry out BSA outdoor program policy related to Cub Scouting.
Review all activities to ensure that unit leaders comply with BSA policies in
the Guide to Safe Scouting.
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National Capital Area Council
Personal Vision Statement Sheet
Wood Badge Personal Vision Statement
Criteria for a Vision
 A vision engages the heart and spirit.
 A vision leads toward a worthwhile goal.
 A vision gives meaning to an effort.
 A vision is simple.
 A vision is attainable.
 A vision can change.
Write a vision statement below expressing where you want to be in 18 to 24 months as a
Scouting leader. A suggested format is:
My Vision: In 18 months, I see myself as a more engaged leader, so that I can lead or
coach my group to accomplish or learn more camping and outdoor skills. I see the Pack
having more outings planned on the calendar that include the outdoors. I envision the
Webelos Dens going camping as dens at least once during the scouting year.
Page 3 of 9
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National Capital Area Council
Goal Worksheet
Wood Badge Ticket Worksheet
Goal/Ticket Item # 1
Strengthens Me Through
My Team
Strengthens My Team
Through Me
Goal: Plan and organize a Pack Bicycling Rodeo as an activity to be used towards
earning the National Summertime Pack Award
Who: Pack members and their families
What: Bicycling Rodeo and family picnic in July
Where: Immanuel Bible Church campus
When: July 12, 2009 with July 19, 2009 as a rain date
How: Lead a group of parents from the Pack in organizing a Bicycling Rodeo and picnic
for the families of the Pack. Include stations for safety checks, a safety display, activities
for the Bicycling Belt Loop and Pin, and other fun cycling-related activities. Finish the
activity with a family picnic. Create a pass-down log so that this activity can be repeated
in the future. Create an evaluation form and solicit feedback so that we can improve
future events.
Why: The Pack has not earned the Summertime Award recently because there were not
activities scheduled during the summer beyond Day Camp or Webelos camping at
Goshen. Having activities for the Pack families to attend during the summer enhances the
relationships between the families and keeps the boys active in Scouting. The Bicycling
Rodeo provides a July activity for the Pack. One of the Assistant Cubmasters is planning
a pool activity in August for the Webelos to work on their Aquanaut Activity Pin and can
modify it to make it a Pack event to qualify for the Summertime Award.
How Verified: List of participants and event evaluations
Page 4 of 9
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National Capital Area Council
Goal Worksheet
Wood Badge Ticket Worksheet
Goal/Ticket Item # 2
Strengthens Me Through
My Team
Strengthens My Team
Through Me
Goal: Be a trainer and plan and lead one module of the Fall Outdoor Skills for Webelos
Leaders (OSWL) course so that Webelos Den Leaders are prepared to take Webelos Dens
on Den campouts and to better assist the Webelos in earning the Outdoor Group of
Activity pins.
Who: Webelos Den Leaders in the Pack
What: 1. Attend Teaching EDGE (formerly Trainers Development Conference) as
recommended for District and Council level trainers. 2. Recruit two current or future
Webelos adults to attend OSWL training. 3.Be one of the instructors for the Fall Outdoor
Skills for Webelos Leaders (OSWL) course for the Patriot and Old Dominion Districts.
Lead one of the modules for the course.
Where: Pohick Bay group camping site
When: September 12, 2009
How: 1. Attend Teaching EDGE to become a better trainer. 2. Recruit two current or
future Webelos adults to attend OSWL training by (a) Recruit Cub Scouters at the Pack
Planning Meeting, (b) Recruit Cub Scouters at the Old Dominion District August
Rountable so that a sufficient number of participants will attend the course, (c) Work
with the Old Dominion District Cub Scout Trainer to promote the course. 3. Be an
instructor for the OSWL course.
Why: Old Dominion District has not held the OSWL course due to lack of interested
instructors. The Patriot District’s spring OSWL course was cancelled due to lack of
participants. This course will give Webelos Den Leaders the confidence to plan and
execute an outdoor program for the Webelos. This will let the boys experience the Boy
Scouts’ outdoor program, which will assist in leading them to continue their journey in
Scouting.
How Verified: List of people recruited, description of recruiting techniques, and
instructor notes.
Page 5 of 9
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National Capital Area Council
Goal Worksheet
Wood Badge Ticket Worksheet
Goal/Ticket Item # 3
Strengthens Me Through
My Team
Strengthens My Team
Through Me
Goal: Be one of the trainers for the BALOO course at Pow-Wow in order to provide a
training opportunity for additional adult members of the Pack to be authorized to plan and
execute a Pack Campout.
Who: Cub Scouters in the Pack and Council
What: Attend Teaching EGDE (formerly Trainers Development Conference) as
recommended for District and Council level trainers. BALOO classes are taught at PowWow by two- and three-person teams. Be a member of one of the teams of instructors to
provide BALOO training at Pow-Wow.
Where: Pow-Wow at Annandale High School
When: Third Saturday in November
How: Attend Teaching EDGE to become a better trainer. Recruit two Pack parents to
attend BALOO training at Pow-Wow. Be a member of one of the teams of instructors to
provide BALOO training at Pow-Wow. Offer to mentor Pack Cub Scouters who attend
BALOO.
Why: The current BALOO-trained adults in a Pack are parents of the older boys. This
will prepare parents of boys of younger ranks to share the load of planning Pack
Campouts, which can make it easier for a Pack to hold more than one Pack Campout
during the year in the future.
How Verified: List of people recruited and names of co-trainers.
Page 6 of 9
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National Capital Area Council
Goal Worksheet
Wood Badge Ticket Worksheet
Goal/Ticket Item # 4
Strengthens Me Through
My Team
Strengthens My Team
Through Me
Goal: Plan and execute a fall Pack Campout to provide an opportunity for Den members
to work on Badge requirements for their level.
Who: Pack members
What: A Fall Pack Campout at which the Den members work on Badge requirements
Where: Prince William Park, Burke Lake Park, or Camp Snyder
When: October 16 – 18, 2009
How: Lead a group of Pack adults in planning and executing a Fall Pack Campout. Plan
activities for the campout that can be done as a Den, focusing on outdoor skills needed to
meet Badge requirements for their level. Plan activities for siblings who attend the
campout. Work with the Den Leaders to prepare the boys and their families to participate
in the campout. Create a pass-down log so that this activity can be repeated in the future.
Create an evaluation form and solicit feedback so that we can improve future events.
Why: The Pack currently only holds a Family Campout in the spring. At that time of the
year most of the boys have earned the Badge for their level and are working on electives.
The spring campout focuses on family activities. The boys do not participate in the
activities as a Den.
How Verified: Campout schedule and event evaluation
Page 7 of 9
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National Capital Area Council
Goal Worksheet - DIVERSITY
Wood Badge Ticket Worksheet
Goal/Ticket Item # 5
Strengthens Me Through
My Team
Strengthens My Team
Through Me
Goal: To encourage more families to participate in Pack camping and outdoor activities
regardless of economic means.
Who: Pack families
What: Camping Equipment Expo and Outdoor Orientation Night
Where: Immanuel Bible Church campus
When: Monday, September 21, 2009 during regular Den meeting time
How: Develop a team and lead a program with members of the Boy Scout Troop
sponsored by the Pack’s sponsoring organization in setting up a campsite on the meeting
grounds. We will use Troop equipment and have the Boy Scouts set up one of the Patrol
boxes to display the equipment used for camping. Lead the Den Chiefs in planning the
interaction between the Webelos and the Boy Scouts. Invite the Webelos dens and their
Den Chiefs to go through the troop equipment and campsite. Lead a group of Pack adults
in setting up a variety of family camping gear to cover tent options, sleep system options,
and cooking/eating equipment. Have groups of Pack adults move from station to station
and discuss/display options for tent options, sleep systems, and cooking/eating
equipment. Encourage Pack adults to indicate the types of equipment they would need to
acquire or borrow in order to attend a Pack Campout. Also encourage Pack adults to
indicate what camping equipment they would have available to loan or share with another
family during a Pack Campout. Review the adult supervision requirements for a Cub
Scout to participate in a Pack Campout. Create a pass-down log so that this activity can
be repeated in the future. Create an evaluation form and solicit feedback so that we can
improve future events.
Why: Providing examples of lower cost options for personal camping gear can encourage
those of lower economic means, including the single parent families, to acquire the items
needed to participate in a Pack Campout. Having a list of equipment that they can borrow
will allow them to camp at a relatively low cost.
How Verified: List of attendees, list of equipment needed and equipment available for
loan or sharing, and event evaluations.
Page 8 of 9
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National Capital Area Council
1.
Are you Living the Values by:
Having the goal fit within the Values, Mission and Vision of the BSA?
Ticket Goal #5 - Diversity
You must use as many of the individual elements of leadership in each Goal as
possible.
Ticket Goal #4
In reviewing each of the elements of your ticket goals; check the appropriate boxes if
the answer to each question is ‘yes’.
Ticket Goal #3
Ticket Goal #1
Your Ticket Goals need to demonstrate the concepts and tools of
leadership and team development, formation and management learned
in Wood Badge for the 21st Century.
Ticket Goal #2
Wood Badge Ticket Matrix
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
3. Are you using the Models for Success by:
Using the team building model to accomplish something?
Using the Leading EDGE (Explain, Demonstrate, Guide, Enable)?
Using the Teaching EDGE (Explain, Demonstrate, Guide, Enable)?
X
X
X
X
X
X
X
X
X
X
X
X
X
X
4. Are you Using the Tools of the Trade:
Project Planning?
Leading Change?
Managing Conflict?
Problem Solving – Making Decisions?
Self Assessment by Giving or Receiving Feedback?
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
5. Are you Leading to Make a Difference by:
Having the goal accomplish your plan for Leaving a Legacy?
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
2.
Are you Bringing the Vision to Life by:
Listening? (Active or Empathetic)
Communicating?
Coaching?
Mentoring?
Inclusiveness?
Valuing People/Leveraging Diversity?
6. Does this goal meet the Wood Badge course requirements:
Can this goal be accomplished within your primary job description?
Does the goal contribute to your Vision for where you want to be?
Does the goal have all the elements of SMART:
Is the goal Specific?
Is the goal Measurable?
Is the goal Attainable?
Is the goal Relevant?
Is the goal Time-based?
Page 9 of 9
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