ALLOHAK COUNCIL
BOY SCOUTS OF AMERICA
MERIT BADGE COUNSELOR APPLICATION
UNIT #________________ DISTRICT__________________________________________
(NA if not affiliated with a unit)
(Please print or type the following information. Please show your full name (no nicknames)
NAME:______________________________________________ BIRTH DATE______________________
ADDRESS______________________________________________________________________________
CITY/STATE/ZIP________________________________________________________________________
OCCUPATION___________________________________________________________________________
HOME E-MAIL:______________________________WORK E-MAIL:_____________________________
SOCIAL SECURITY NUMBER_____________________________________________________________
PHONE (Home)____________________________ (Work)_______________________________________
(Circle the one you want used for the boys to contact you)
I wish only to work with only _________
I wish to work with all units_______________
(Unit#)
All Merit Badge Counselors must be a registered member of the Boy Scouts of America. Even if you are already
registered in another position and this is your first time registering as a Merit Badge Counselor, you must complete
a BSA Adult Application form with the Position Code of “42” (for Merit Badge Counselor). Merit Badge Counselors registration will end on the last day of each year and will not be renewed without your written authorization.
By signing the back of this form, you agree to the following standards:
As a Merit Badge Counselor, I will:
1. Examine the latest revision of the BSA Merit Badge pamphlet for each Merit Badge I select on the list
attached to this.
2. Require the Scout to complete all and only all of the requirements.
3. Counsel the Scout to:
A. Keep his appointment
B. Be in uniform
C. Bring a legibly filled out Merit Badge Application card signed in ink by his unit leader or designee.
D. In keeping with BSA Youth Protection Guidelines, bring an adult to every counseling session we
have.
4. Notify the Allohak Council Registrar when I no longer want to serve as a Merit Badge Counselor,
5. Allow my name and phone number to be published on the Allohak webiste so that I may be contacted by
Scouts wishing to take a Merit Badge.
Allohak Council - 1340 Juliana Street - Parkersburg, WV 26101
304.422.4507 - 800.654.5272
www.allohak.org scout@allohak.org
MERIT BADGE SUBJECTS
To provide boys an opportunity to meet and interact with as many different qualified adults as possible during the
Scouting years, it is recommend that no counselor counsel for more than six (6) merit badge subjects.
American Business
American Cultures
American Heritage
American Labor
Animal Science
Animation
Archaeology
Archery
Architecture
Art
Astronomy
Athletics
Atomic Energy
Automobile Maintenance
Aviation
Backpacking
Basketry
Bird Study
Bugling (See Music)
Camping
Canoeing
Chemistry
Chess
Cinematography
Citizenship Community
Citizenship Nation
Citizenship World
Climbing
Coin Collecting
Collections
Communications
Composite Materials
Computers
Cooking
Crime Prevention
Cycling
Denistry
Digital Technology
Disability Awareness
Dog Care
Drafting
Electricity
Electronics
Emerg Prep
Energy
Engineering
Entrepreneurship
Environmental Science
Family Life
Farm Mechanics
Fingerprinting
Fire Safety
First Aid
Fish & Wildlife
Fishing
Fly Fishing
Forestry
Game Design
Gardening
Genealogy
Geocaching
Geology
Golf
Graphics Arts
Hiking
Home Repairs
Horsemanship
Indian Lore
Insect Study
Inventing
Journalism
Kayaking
Landscape Archtec
Law
Leatherwork
Lifesaving
Mammal Study
Medicine
Metalwork
Mining in Society
Model Design/Bld
Motorboating
Moviemaking
Music
Nature
Nuclear Science
Oceanography
Orienteering
Painting
Personal Fitness
Personal Mgment
Pets
Photography
Pioneering
Plant Science
Plumbing
Pottery
Programming
Public Health
Public Speaking
Pulp & Paper
Radio
Railroading
Reading
Reptile & Amphib
Rifle Shooting
Robotics
Rowing
Safety
Salesmanship
Scholarship
Scouting Heritage
SCUBA Diving
Sculpture
Search & Rescue
Shotgun Shooting
Signs, Signals & Codes
Skating
Small Boat Sailing
Snow Sports
Soil & Water Conserv
Space Exploration
Sports
Stamp Collecting
Surveying
Sustainability
Swimming
Textile
Theater
Traffic Safety
Truck Transportation
Vetenirary Medicine
Water Sports
Weather
Welding
Whitewater
Wilderness Survival
Wood Carving
Woodwork
Please list your qualification(s) for the Merit Badge(s) subject you have checked (add additional sheets if needed)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
As a Merit Basdge Counselor, I agree to follow the standards listed on the previous page.
Signature___________________________________________________ Date____________________
As of 7/24/14