Activity Specialist Recertification Form

Upon expiration, specialists will need to complete a recertification form showing that they used that skill with girls during that year.

Volunteer First Name*

Volunteer Last Name*

Phone*

Phone

Email*

Troop Number

Please use your 5 digit troop number.

Activity Specialist Skill #1

Please provide us with the name of the outdoor skill used , the date it was used and include a brief description if how this skill was used.

Activity Specialist Skill Used #1*

Select

Date Skill #1 was Used

Description of Skill #1 Useage

Please provide us with the name of the outdoor skill used , the date it was used and include a brief description if how this skill was used.

Activity Specialist Skill Used #2

Select

Date Skill #2 was Used

Description of Skill #2 Usage

Please provide us with the name of the outdoor skill used , the date it was used and include a brief description if how this skill was used.

Activity Specialist Skill Used #3

Select

Date Skill #3 was Used

Description of Skill #3 Useage

Please provide us with the name of the outdoor skill used , the date it was used and include a brief description if how this skill was used.

Activity Specialist Skill Used #4

Select

Date Skill #4 was Used

Description of skill #4 Usage

Safety Activity Checkpoints*

I have reviewed and agree to abide by the standards set forth in the Safety Section of Volunteer Essentials.

Select

Registry of Specialists Consent*

I give permission for my name to be added to a council listing of activity specialists to be used as a resource for troops.

Yes

File Upload

Please upload any necessary certification cards, such as First Aid/Wilderness First Aid.

Drag and drop files here or

Send me a copy of my responses