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TRANSCRIPT
VICTORIAN ROVER SCOUTSApplication for the Presentation of the
Baden-Powell Scout AwardPart A: Personal Details Membership No Region
NameNAME IN BLOCK LETTERS
Please ensure this is correct, as this is the name that will be inscribed on the certificate
Address
Suburb Postcode
Phone Mobile
Email Date of Birth
Part B: Scouting Details and Experience
Crew Group
District Investiture DateJoey Scouts Cub Scouts Scouts Venturer Scouts Rover Scouts
yrs yrs Yrs yrs yrs
Part C: St George Award DetailsAward Component & Details DateSquire Training Badge completionDetails
Rover Skills Badge completionDetails
Physical Badge completionDetails
Service Badge completionDetails
Part D: Baden-Powell Scout Award DetailsAward Component DateSt George Award completion
Community Development Badge completionDetails
Personal Growth Badge completionDetails
Part E: Baden-Powell Scout Award Support Team – Self-Reflection Interview Award Component DateSelf-Reflection Interview
Part F: Rover Crew Approval (please complete section below)I verify that the necessary qualifications as listed above have been completed and the Rover Crew recommends this applicant be awarded the Baden-Powell Scout Award
Name Position Signature Date
Part G: Region Rover Community – NotificationName Position Signature Date
Part H: Victorian Rover Council – EndorsementName Position Signature Date
Part I: State Chief Commissioner – Approval Name Signature Date
_________________________________________________________________________________________________________________________________________ Part J: Badge Return (Rover Crew to Complete)
Following the approval by the State Chief Commissioner the BPSA Badges and Certificate should be sent to the person listed below who will arrange for the presentation to the Rover Scout.
Name Position
Address
Suburb Postcode
Phone Mobile
Email_________________________________________________________________________________________________________________________________________ Part H: State Office Use Only
Date Applicant notified of outcome by Letter Date CL, RA, GL, DC and RC advised
(Must be after Applicant has been advised)Date Award noted on Extranet Record
Version 1, August 2014