INDIVIDUAL SCOUT RECORD

PERSONAL DATA
Name _______________________________________________________________________ TROOP/TEAM
Address _____________________________________________________________________
City_______________________ State, zip code ____________________________________ NO._______________
Phone________________________ Date of birth __________________________________
Church or synagogue_________________________________________________________ PATROL
School_________________________________________________________________________
__________________________
____________________________________________________________________________________________
Parent’s name _______________________________________________________________ __________________________
Business address _____________________________________________________________ __________________________
City_______________________ State, zip code ____________________________________
Business phone__________________________ Occupation _________________________

MEMBERSHIP
Cub Scout—from________ to_________ Rank _________ Became Varsity Scout or Venturer . . . ______________
Date
Webelos Scout—from_____________ to ______________ ORDER OF THE ARROW
Pack No.__________ City__________ State ____________ Election . . . . . . . . . . . . . . . . . . . . . . . . ______________
Date
Became Boy Scout (registered) . . . . . ______________
Date Ordeal . . . . . . . . . . . . . . . . . . . . . . . . . ______________
Date
Transfer in . . . . . . . . . . . . . . . . . . . . . . ______________
Date Brotherhood . . . . . . . . . . . . . . . . . . . . ____________________
Date
Transfer out . . . . . . . . . . . . . . . . . . . . ______________
Date Vigil Honor . . . . . . . . . . . . . . . . . . . . . ____________________
Date

ATTENDANCE T = PRESENT AT TROOP MEETING

S = PRESENT AT SERVICE PROJECT
H = PRESENT ON TROOP HIKE
C = PRESENT AT OVERNIGHT CAMP
10¢, 15¢, 25¢, 50¢, $1 = AMOUNT PAID ON DATE SHOWN
✓ = DUES PAID AHEAD OR BACK

C3 = (Numeral indicates number of days and nights in camp)

AND DUES A = PRESENT AT TROOP, DISTRICT, OR COUNCIL ACTIVITY

YEAR YEAR YEAR

ATTENDANCE DUES ATTENDANCE DUES ATTENDANCE DUES

DATE DATE DATE

d d d
JAN. JAN. JAN.
DATE DATE DATE
d d d
FEB. FEB. FEB.
DATE DATE DATE
d d d
MAR. MAR. MAR.
DATE DATE DATE
d d d
APR. APR. APR.
DATE DATE DATE
d d d
MAY MAY MAY
DATE DATE DATE
d d d
JUNE JUNE JUNE
DATE DATE DATE
d d d
JULY JULY JULY
DATE DATE DATE
d d d
AUG. AUG. AUG.
DATE DATE DATE
d d d
SEPT. SEPT. SEPT.
DATE DATE DATE
d d d
OCT. OCT. OCT.
DATE DATE DATE
d d d
NOV. NOV. NOV.
DATE DATE DATE
d d d
DEC. DEC. DEC.
 ADVANCEMENT 9b.
9c.
BSA swimmer test
Water survival skills
____
____
Scout’s last name REQUIREMENTS 9d.
10.
Line rescue
Scout spirit
____
____
TROOP POSITIONS OF Enter date earned for each 11. Scoutmaster conference ____
RESPONSIBILITY merit badge, rank, and 12. Board of review ____
From (Date) To (Date)
individual requirement.
Indicate specific skills and STAR RANK
Den chief . . . . . . . . . . . . . . . . . . . . ____________ ____________ Date
merit badges earned for 1. Participation ____
Librarian . . . . . . . . . . . . . . . . . . . . ____________ ____________
each rank. 2. Scout spirit ____
Quartermaster . . . . . . . . . . . . . . . ____________ ____________ 3. _______ merit badge* ____
Scribe . . . . . . . . . . . . . . . . . . . . . . . ____________ ____________ BOY SCOUT 4. _______ merit badge* ____
Date 5. _______ merit badge* ____
Historian . . . . . . . . . . . . . . . . . . . . ____________ ____________ 1. Joining requirements ____ 6. _______ merit badge* ____
Instructor . . . . . . . . . . . . . . . . . . . ____________ ____________ 2. Scoutmaster conference ____ 7. _______ merit badge ____
Varsity program manager . . . . . . ____________ ____________ 8. _______ merit badge ____
Chaplain aide . . . . . . . . . . . . . . . . ____________ ____________
TENDERFOOT RANK 9. Service project ____
Date 10. Position of responsibility ____
Varsity team captain . . . . . . . . . . ____________ ____________ 1. Preparing to camp ____ 11. Scoutmaster conference ____
Varsity team co-captain . . . . . . . . ____________ ____________ 2. Overnight camp ____ 12. Board of review ____
3. Preparing a meal ____ *Total of 6 merit badges, includ-
Varsity team secretary . . . . . . . . . ____________ ____________ 4a. Whipping and ing any 4 from required list for
Patrol leader . . . . . . . . . . . . . . . . . ____________ ____________ fusing rope ____ Eagle.
Squad leader . . . . . . . . . . . . . . . . . ____________ ____________ 4b. Tying hitches ____
Assistant senior patrol leader . . . ____________ ____________
5. Safe hiking rules ____ LIFE RANK
6. Care of the flag ____ Date
Senior patrol leader . . . . . . . . . . . ____________ ____________ 7. Scouting principles ____ 1. Participation ____
8. Patrol knowledge ____ 2. Scout spirit ____
Troop guide . . . . . . . . . . . . . . . . . . ____________ ____________ 9. Buddy system ____ 3. _______ merit badge* ____
Junior assistant Scoutmaster . . . . ____________ ____________ 10a. Physical test ____ 4. _______ merit badge* ____
Note: Each of the positions of responsibility listed above can help fulfill requirements for the 10b. Physical improvement ____ 5. _______ merit badge* ____
Eagle Scout Award. 11. Poisonous plants ____ 6. _______ merit badge ____
12a. Heimlich maneuver ____
MERIT BADGE LIST 12b. First aid ____
7. _______ merit badge
8. Service project
____
____
13. Scoutmaster conference ____ 9. Position of responsibility ____
1. Camping 36. Computers 84. Pioneering 14. Board of review ____ 10. Scoutmaster conference ____
2. Citizenship in the 38. Cooking 85. Plant Science
Community
11. Board of review ____
3. Citizenship in the
131. Crime Prevention 86. Plumbing SECOND CLASS RANK *Total of 11 merit badges, includ-
40. Dentistry 87. Pottery Date
Nation ing any 3 more from required
60. Disabilities 89. Public Health 1a. Map and compass use ____
4. Citizenship in the Awareness
list for Eagle.
World 90. Public Speaking 1b. Map and compass hike ____
41. Dog Care
5. Communications 42. Drafting
91. Pulp and Paper 2a. Troop/patrol activities ____ EAGLE SCOUT AWARD
39. Cycling 93. Radio 2b. Tent pitching ____ Date
43. Electricity 2c. Wood tools ____
6. Emergency 44. Electronics 94. Railroading 1. Participation ____
Preparedness 2d. Cooking fire ____ 2. Scout spirit ____
45. Energy 95. Reading
7. Environmental 2e. Lightweight stoves ____ 3. _______ merit badge* ____
46. Engineering 96. Reptile and
Science Amphibian Study
2f. Lighting a fire 4. _______ merit badge* ____
134. Entrepreneurship and stove ____
129. Family Life 123. Rifle Shooting 5. _______ merit badge* ____
48. Farm Mechanics 2g. Preparing a meal ____
8. First Aid
98. Rowing 6. _______ merit badge* ____
49. Fingerprinting 3. Care of the flag ____
61. Hiking
12. Safety
7. _______ merit badge* ____
50. Fire Safety 4. Service project ____
9. Lifesaving 8. _______ merit badge ____
51. Fish and Wildlife 99. Salesmanship 5. Animal identification ____
10. Personal Fitness
Management
9. _______ merit badge ____
11. Personal 100. Scholarship 6a. “Hurry” cases ____ 10. _______ merit badge ____
Management 52. Fishing 101. Sculpture 6b. First-aid kit ____ 11. _______ merit badge ____
14. Swimming 54. Forestry 124. Shotgun 6c. First aid ____ 12. _______ merit badge ____
15. American 55. Gardening Shooting 7a. Safe swimming ____ 13. Position of responsibility ____
Business 56. Genealogy 103. Skating 7b. Swimming skills ____ 14. Service project ____
17. American 58. Geology 105. Small-Boat 7c. Water rescue methods ____ 15. Scoutmaster conference ____
Cultures 59. Golf Sailing 8. Health programs ____ 16. Board of review ____
16. American 122. Graphic Arts 104. Snow Sports 9. Scout spirit ____ *Total of 21 merit badges, includ-
Heritage 62. Home Repairs 10. Scoutmaster conference ____
106. Soil and Water ing 12 (at least one in each cate-
121. American Labor 63. Horsemanship Conservation 11. Board of review ____ gory) from the required list for
18. Animal Science 64. Indian Lore 107. Space Eagle. See Boy Scout Require-
132. Archaeology 65. Insect Study Exploration FIRST CLASS RANK ments for categories.
19. Archery 66. Journalism 13. Sports Date
20. Architecture 67. Landscape
21. Art Architecture
108. Stamp Collecting 1. Finding your way ____ BRONZE PALM
109. Surveying 2. Orienteering ____
22. Astronomy 68. Law 3. Troop/patrol activities ____ ________________________________
110. Textile
23. Athletics 69. Leatherwork 4a. Planning a menu ____ Date
24. Atomic Energy 71. Mammal Study 111. Theater
4b. Purchasing food ____
112. Traffic Safety
127. Auto Mechanics 130. Medicine
113. Truck
4c. Cooking gear ____ GOLD PALM
25. Aviation 74. Metalwork 4d. Safe handling of food ____
26. Backpacking 75. Model Design Transportation ________________________________
4e. Camp cooking ____
27. Basketry and Building 114. Veterinary Date
Medicine
5. Citizenship ____
29. Bird Study 76. Motorboating 6. Plant identification ____
32. Bugling 77. Music 115. Waterskiing
7a. Appropriate use
33. Canoeing 78. Nature 116. Weather of lashings ____
SILVER PALM
34. Chemistry 79. Oceanography 125. Whitewater 7b. Hitches and lashings ____ ________________________________
126. Cinematography 80. Orienteering 117. Wilderness 7c. Camp gadget ____
Survival
Date
133. Climbing 81. Painting 8a. Bowline knot ____
35. Coin Collecting 82. Pets 118. Wood Carving 8b. Bandages ____ #34518B
128. Collections 83. Photography 119. Woodwork 8c. Transporting a victim ____
8d. CPR ____
Merit badges on required list for Eagle are in boldface. 9a. Safe trip afloat ____
34518B 2000 Boy Scouts of America Revised 1999 7 30176 34518 5