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09/22/03
Individual History Data Collection Form
Troop 55
Name: ______________________________
Scout 1st Class
1. Age Requirement __/__/__ 1. Find Way w/o Compass __/__/__
2. Application Forms __/__/__ 2. Orienteering Course __/__/__
3. Find a Troop __/__/__ 3. Activity Requirement __/__/__
4. Pledge of Allegiance __/__/__ 4a. Plan Patrol Menu * __/__/__
5. Demo Scout Sign, etc __/__/__ 4b. Make Food List * __/__/__
6. Demo Square Knot __/__/__ 4c. Cooking Utensils/Gear * __/__/__
7. Scout Oath, Law, etc __/__/__ 4d. Safe Food Handling * __/__/__
8. Describe Scout Badge __/__/__ 4e. Serve As Patrol Cook __/__/__
9. Pamphlet Exercises __/__/__ 5. Visit Civic Leader __/__/__
10. Scoutmaster Conference __/__/__ 6. Identify Native Plants __/__/__
7a Discuss Lashings * __/__/__
Tenderfoot 7b. Demonstrate Lashings __/__/__
1. Prepare to Camp __/__/__ 7c. Make Camp Gadget __/__/__
2. Camp and Pitch Tent __/__/__ 8a. Demo Rescue Knot __/__/__
3. Prepare/Cook Meal * __/__/__ 8b. Demo Bandages __/__/__
4a. Demo Whip/Fuse Rope __/__/__ 8c. Moving The Injured __/__/__
4b. Demo Hitch Knots __/__/__ 8d. Heart Attacks/CPR __/__/__
5. Explain Hiking Rules __/__/__ 9a. Safe Trip Afloat * __/__/__
6. Demo Flag Care __/__/__ 9b. BSA Swimmer Test * __/__/__
7. Scouting Principles __/__/__ 9#. Demo Water Survival # __/__/__
8. Patrol Knowledge __/__/__ 9c. Show Line Rescue * __/__/__
9. Explain Buddy System __/__/__ 10. Scout Spirit __/__/__
10a. Physical Fitness Test __/__/__ 11. Scoutmaster Conference __/__/__
10b. Show Improvement __/__/__ 12. Board Of Review __/__/__
11. Identify Poison Plants __/__/__
12a. Heimlich Maneuver __/__/__ Star
12b. Show First Aid __/__/__ - Participation __/__/__
13. Scout Spirit __/__/__ - Scout Spirit __/__/__
14. Scoutmaster Conference __/__/__ - _______________ MB __/__/__
15. Board of Review __/__/__ - _______________ MB __/__/__
- _______________ MB __/__/__
2nd Class - _____________ MB __/__/__
1a. Map and Compass Use __/__/__ - _______________ MB __/__/__
1b. Map and Compass Hike __/__/__
- _______________ MB __/__/__
2a. Activity Requirement __/__/__ - Service Project __/__/__
2b. Select Camp Site __/__/__ - Pos'n of Responsibility __/__/__
2c. Use of Knife/Saw/Axe __/__/__ - Scoutmaster Conference __/__/__
2d. Prepare Cook Fire __/__/__ - Board of Review __/__/__
2e. Fire and Stove Safety * __/__/__
2f. Light Fire and Stove * __/__/__ Life
2g. Cook Over Wood Fire * __/__/__ - Participation __/__/__
3. Flag Ceremony __/__/__ - Scout Spirit __/__/__
4. Service Project __/__/__ - _______________ MB __/__/__
5. Identify Wild Animals __/__/__ - _______________ MB __/__/__
6a. Handle 'Hurry' Cases __/__/__ - _______________ MB __/__/__
6b. Make First Aid Kit __/__/__ - _______________ MB __/__/__
6c. Show First Aid __/__/__ - _______________ MB __/__/__
7a. Swimming Precautions __/__/__ - Service Project __/__/__
7b. Demo Swim Ability * __/__/__ - Pos'n of Responsibility __/__/__
7c. Demo Water Rescue * __/__/__ - Scoutmaster Conference __/__/__
8. Drug/Alcohol Program __/__/__ - Board of Review __/__/__
9. Scout Spirit __/__/__ - Scoutmaster Conference __/__/__
10. Scoutmaster Conference __/__/__
11. Board of Review __/__/__
09/22/03 (Page 2)
Individual History Data Collection Form
Eagle
- Participation __/__/__ - Board of Review __/__/__
- Scout Spirit __/__/__
- _______________ MB __/__/__ Palm in Progress (__________ Palm)
- _______________ MB __/__/__ - Participation __/__/__
- _______________ MB __/__/__ - Scout Spirit __/__/__
- _______________ MB __/__/__ - _______________ MB __/__/__
- _______________ MB __/__/__ - _______________ MB __/__/__
- _______________ MB __/__/__ - _______________ MB __/__/__
- _______________ MB __/__/__ - _______________ MB __ /__/__
- _______________ MB __/__/__ - Scoutmaster Conference __/__/__
- Pos'n of Responsibility __/__/__ - Board of Review __/__/__
- Eagle Project __/__/__
Earned Palm List
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
Additional Merit Badges
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
___________ __/__/__ ___________ __/__/__ ___________ __/__/__ ___________ __/__/__
Activities/Order of the Arrow
Nights Camping: _____ OA Election: __/__/__ Call Out: __/__/__
Miles Hiking: _____ Ordeal: __/__/__ Brotherhood: __/__/__
Service Hours: _____ Vigil: __/__/__ Vigil Name: __________________
Leadership History
_______________ __/__/__ - __/__/__ _______________ __/__/__ - __/__/__
_______________ __/__/__ - __/__/__ _______________ __/__/__ - __/__/
_______________ __/__/__ - __/__/__ _______________ __/__/__ - __/__/__
Training Courses
_______________ __/__/__ _______________ __/__/__
_______________ __/__/__ _______________ __/__/__
_______________ __/__/__ _______________ __/__/__
Special Awards
_______________ __/__/__ _______________ __/__/__
_______________ __/__/__ _______________ __/__/__
_______________ __/__/__ _______________ __/__/__
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