SCOUTING ALUMNI

INFORMATION FORM

CELEBRATE | RECONNECT | REAFFIRM

We want to not only celebrate the successes you’ve had because of Scouting but also reconnect you with your fellow Scouters. & if possible we want to reaffirm your commitment to Scouting!

We want to know all about your Scouting history so that we can make sure you get invited to the Centennial Celebrations and the affinity groups that most pertain to you! We would also use the information that you provide below to highlight the life changing stories & successes from Alumni Scouters like you at these celebrations!

First Name

Last Name

Phone

(###)

###

####

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Were you a Scout?

If yes, what unit type & number were/are you in?

Example: Pack 1234, Troop 1234, Crew 1234, etc.

Please tell us about your experience. What is the history & the story of your time as a Scout?

What is your favorite memory from your time as a Scout?

Did you achieve the Rank of Eagle?

If yes, what year did you achieve Eagle?

Were you a registered Volunteer?

If yes, what unit type & number were you in?

Example: Pack 1234, Troop 1234, Crew 1234, etc.

Please tell us about your experience. What is the history & the story of your time as a Volunteer?

What is your favorite memory from your time as a Volunteer?

Are you currently a registered BSA member with the Pine Burr Are Council?

If yes, what unit are you in & what is your current position? If no, are you currently registered with a different Council or not registered at all?

Were you a member of the Order of the Arrow at Ti'ak Lodge 404?

If yes, what year(s)? What was your position?

Please tell us about your experience. What is the history & the story of your time as an Arrowmen?

What is your favorite memory of your time as an Arrowman?

Were you ever a Camp Tiak Staff Member?

If yes, what year? What was your role as a staff member?

What is your favorite memory from your time as Camp Staff?

Have you ever attended Woodbadge?

If yes, what year?

Please tell us about your experience. What is the history & the story of your time at Woodbadge Training?

Have you ever been on Woodbadge Staff?

If yes, what year? What was your role as a Woodbadge Staff Member?

Please tell us about your experience. What is the history & the story of your time as Woodbadge Staff?