National Jamboree Adult Leader Application

About You

Your Name(Obligatorio)

Nombre Segundo nombre Apellidos

Your Address

Dirección Dirección 2 Ciudad Provincia Código Postal

Date of Birth

How Can We Reach You?

We would love to chat with you. How can we get in touch?

Your Email Address(Obligatorio)

Your Cell Phone(Obligatorio)

Scouting Experience

Current Unit Registration (Unit Type and Unit Number, i.e. Troop 123)

List Scouts BSA and Venturing Adult Leadership positions held(Obligatorio)

Position

Date (year from/to)

List Jamborees Attended (as youth and/or adult)

Year

Youth or Adult

Position (if adult)

Long-Term Camping Experience

Year

Camp/Location

Duration (# of nights)

Four days or longer

Training Course Taken

Introduction to Outdoor Leader Skills (IOLS)

Wood Badge

Wilderness and Remote First Aid

Other Pertinent Training Taken

Jamboree Leadership

Desired Position

Scoutmaster (SM) or Crew Advisor (CA)

Assistant Scoutmaster (ASM) or Associate Crew Advisor (ACA)

Council Contingent Staff Member (CCSM)

Why do you want to serve as a Jamboree adult leader?(Obligatorio)

References (Please provide three)

Name

Relationship

Cell Phone

Signature(Obligatorio)

I certify that the information on this application is true, to the best of my knowledge.

National Jamboree Adult Leader Application