THE INTERNATIONAL AWARD FOR YOUNG PEOPLE
AWARD ATTAINMENT FORM FOR INDEPENDENT OPERATORS
This form is to assist the International Secretariat in the authorisation process of Awards
attained through Independent Operators.
Please complete this form using details from the Record Book and return it to the International
Secretariat as soon as possible. There is no need to send the Record Book with this form.
Independent Operators name and address:
Participant’s name:
Level of Award:
Bronze
Silver
(Has the participant obtained their Bronze Award? YES/NO)
Gold
(Has the participant obtained their Silver Award? YES/NO)
Date of Birth _______________________________________________________________
Please remember that the Award cannot be presented until it has been authorised by the
International Secretariat. Award certificates and badges can be obtained from Award Scheme
Limited, Unit 18/19 Stewartfield Industrial Estate, Off Newhaven Road, Edinburgh EH6 5RQ,
Scotland, in the usual way.
Attainment Form
Feb 2004
DETAILS OF AWARD (It is essential that this is completed in full.)
Participant’s name
Date Award Started
Date Award Completed
Service
Activity
(please give details of
service given)
Dates started
Dates completed
Adventurous
Journey
Nature of venture e.g.
foot, cycle, exploration
Area
Purpose
Dates
Skills
Activity
(please give details of
personal goals
reached)
Dates started
Dates completed
Physical
Recreation
Activity
(please give details of
personal goals
reached)
Dates started
Dates completed
Residential Section
(Gold Level only)
Activity
(please give details of
purposeful activity
undertaken)
Dates
Signed by Award Leader: ___________________________________ Date: ________________________
Attainment Form
Feb 2004