Diocese of Phoenix Catholic Committee on Scouting

Phoenix Diocesan Catholic Committee on Scouting
Information Sheet
Name:
Address:
City: State: Zip
Home Phone:
Work Phone:
e-mail Address:
Parish:
BSA registered as:
GSUSA registered in as:
Unit(s):
(Pack #, Troop #, Post #)
I attended: Religious Emblems Counselor Training (month/year)
Scouter Development in (month/year)
I am (have been) a Facilitator/ Counselor/Moderator for the following BSA emblems: Light of Christ Parvuli Dei
Ad Altare Dei Light is Life Pope Pius XII
(years as facilitator/counselor/moderator)
I am (have been) a Counselor for the following Girl Scout emblems: Family of God I Live My Faith
Marian Award The Spirit Alive
(years as counselor)
I have been awarded the following Adult Recognition Awards: Bronze Pelican St. George
St. Elizabeth Ann Seton St. Ann
Occupation and employer:
List your service to or positions held in the spiritual development of Catholic youths in Scouting:
List your service to or positions held in the Boy Scouts of America and/or Girls Scouts USA
List your service to or positions held in the parish and/or diocese:
List your service to or positions held in other organizations (such as business, civic, religious, educational and fraternal).

NOTE: This information will be used by the
Phoenix Diocesan Catholic Committee on Scouting
for committee use only.

Links

Home page Committee Key Contacts Event Calendar
Cub, Boy, & Venturing Scout Religious Emblems Diocesan Information on Youth Emblems Catholic Girl Scout and Camp Fire Youth and Adult Awards
Diocesan Adult Recognition Catholic Scouting units &
Religious Emblems Counselors		 Catholic Unit Awards
Information Board and Calendar PhxDCCS Documents NCCS Awards & Patches
Update your information Related Sites St. John Bosco Patch

Updated July 2 2007
Copyright © 1996 - 2010
Phoenix Diocesan Catholic Committee on Scouting
Contact webmaster for updates or corrections.