TEST FORM

First Name

Last Name

Email

Phone

Date of Birth (mm/dd/yyyy)

Scouting Member ID (Enter 0 if not known)

Unit Type
PackTroopCrewTeamPostNon UnitDistrictCouncilOther

Unit Number (Enter 0 if not known)

Certificate Number

Date of Completion (mm/dd/yyyy)

1. Upload your Mandated Reporter Certificate (PDF Format Strongly Preferred)
(Max File Size: 10 MB – File Type: PDF, GIF, PNG, JPG, JPEG, DOC, DOCX)

2. Upload Background Consent Form (CLICK HERE to Download) (PDF Format Strongly Preferred)
(Max File Size: 10 MB – File Type: PDF, GIF, PNG, JPG, JPEG, DOC, DOCX)

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