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Alumni Association Membership Application
Alumni Association Membership Application
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Name
First
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Last Name
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Address
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City, State Zip
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Phone
(Area Code First)
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Email
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Birth Date
MM/DD/YYYY
Gender
Male
Female
Other:
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Are you retired?
Yes
No
Profession:
(If applicable)
Business Address:
(If applicable) Address/City/State/Zip
Business Phone:
(If applicable)
As a youth, were you involved in?
(Check all that apply)
Cub Scouts
Boy Scouts
Scouts BSA
Varsity Scouts
Venturing
Exploring
Sea Scouts
Order of the Arrow
Camp Staff
Other:
Where did you do your Scouting?
(State or if outside the USA, what country)
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What was the highest rank you achieved in Scouting?
None/Don't Know
Cub Scout Rank
Tenderfoot
Second Class
First Class
Star
Life
Eagle
Other:
How did you hear about us?
Who referred you? If not applicable, skip
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Are you currently involved in Scouting?
Yes
No
Please tell us your current involvement
(If applicable)
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Would you like to get reengaged in Scouting?
Yes
No
At what level would you like to reengage?
(check all that apply)
Keep me in informed only on Scouting issues and special events
Alumni Association (Serve on a committee within Scouting's Alumni Association)
Unit Level (Cub Scout Pack/Scout Troop/Venturing/Explorer Post)
District Level (Scouting Operations in a local geographic region near you)
Council Level (Scouting Operations that encompass the Council including committees, special program events, etc.)
Would like to support Scouting
Other:
As we develop sub-chapters within our Alumni Association, please indicate your preferences for involvement (if any) in:
(Select all that apply)
National Eagle Scout Association (NESA)
Sliver Beaver
Wood Badge
Order of the Arrow
Peaceful Valley Scout Ranch
Camp Tahosa
Scouting Heritage
Military Scouters
Other:
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Would you be willing to help out with a service project?
Yes
No
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Do you have any special talents, assets, or work experience that could benefit Scouting that you would be willing to share?
Yes
No
If yes, please describe:
(If applicable)
Comments or suggestions:
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