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
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
*
Activity Specialist Skill #2
Activity Specialist Skill #2
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
Activity Specialist Skill #3
Activity Specialist Skill #3
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
Activity Specialist Skill #4
Activity Specialist Skill #4
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
Safety Activity Checkpoints
*
I have reviewed and agree to abide by the standards set forth in the Safety Section of Volunteer Essentials.
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
Grade Levels
*
Daisy
Brownie
Junior
Cadette
Senior
Ambassadors
Adults
File Upload
Please upload any necessary certification cards, such as First Aid/Wilderness First Aid.
Drop your files here
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