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MBA Masonry

The document is a merit badge application form for a Boy Scout named Emerson Rugayan to earn the Masonry merit badge. It includes fields for his scout rank and troop information, approval from his troop leader, and scheduling merit badge counseling sessions with a certified counselor.

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Aerwyna Kyubey Bellamy
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43 views1 page

MBA Masonry

The document is a merit badge application form for a Boy Scout named Emerson Rugayan to earn the Masonry merit badge. It includes fields for his scout rank and troop information, approval from his troop leader, and scheduling merit badge counseling sessions with a certified counselor.

Uploaded by

Aerwyna Kyubey Bellamy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BSP Form No. 17 (Rev.

07-24-12)

BOY SCOUTS OF THE PHILIPPINES


NATIONAL OFFICE
Manila

MERIT BADGE APPLICATION

Date _ _
(Date of Merit Badge Application is applied for)

I, EMERSON RUGAYAN hereby certify that I have been a holder of (Scout’s complete
name in block letters)

the OUTDOORSMAN since that I am a member of


(Present Scout Rank/Badge) (Date passed the Board of Review)

_ 2002 , Palayan City NHS ,_ Nueva Ecija _Council


(Troop / Outfit No.) (Sponsoring Institution)

and that I am qualified to work on the requirements for the MASONRY Merit Badge.

____EMERSON RUGAYAN _____


(Signature over Printed Name)
APPROVED: ARJAY E. ACOSTA
______________________________________________
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with an accredited/certified Merit Badge
Counselor on specified dates of Merit Badge Counseling/Examination.

MERIT BADGE COUNSELING APPOINTMENT


Merit Badge Requirements / Projects Troop Leader/ Merit Badge Counselor Signature
Submitted and Completed Outfit Advisor

Date of 1st Meeting:

Date of 2nd Meeting:

Date of 3rd Meeting:


(Optional when
requirements are NOT
satisfied during the
2nd Meeting)

NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be signed by the Troop Leader / Outfit Advisor and
the Merit Badge Counselor as proof of completion for Merit Badge requirements.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE


THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful examination of
said Scout on the subject, has satisfactorily passed the test for ____ __
(Merit Badge Subject)

___________________________________ _____________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)

NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement Counselors are authorized to sign
his certificate.

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