Scout name _______________________________________

Address____________________________________________

City________________________________________________

State__IN__ Zip______________________

Phone______________________________________________

email address _______________________________________

Parents email address ___________________________________

Father’s full name___________________________________

Fathers day time phone ________________________________

Mother’s full name__________________________________

Mothers day time phone _____________________________

Scout Birthday_____________________________________

Grade__________________

What School do you attend___________________________

What are your favorite things to do?______________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Boy Scouting is for adults as well as boys. We invite you to share your skills and interests so the best possible program can be developed for the Boy Scouts in this troop. In making this survey the committee wishes to find way you can enjoy using your talents to help our Scouts. Your cooperation is greatly appreciated. Welcome to the Scout family of troop No. in the Council.

Please return this survey to

(Please print)

Name ______________________________________________________________________________

1. What is your favorite hobby?______________________________________________________

2. Occupation ________________________________________________________________

3. In what sports do you take an active part?_________________________________________

4. Would you be willing to assist the troop leaders and committee members occasionally?__________

5. Please check or circle the areas in which you would be willing to help below

• Campouts
• I can participate in boards of review
• Hikes
• I have a station wagon or truck.
• Outdoor activities
• I have a workshop.
• Troop meetings
• I have family camping gear.
• Swimming supervision
• I have access to a cottage.
• Bookkeeping
• I have access to camping property.
• Typing
• I can make contacts for special trips and activities.
• Drawing/art
• I can help with troop equipment.
• Transportation of Scouts
• I have access to a personal computer.
• Transportation of equipment
• Other

Please circle any Scouting skills you would be willing to teach.

• Ropework (knots and lashings) Conservation
• Outdoor cooking Aquatics
• First aid Knife and ax handling
• Star study Citizenship
• Map and compass use Camping