Free Bsa Adult Application Form in PDF

Free Bsa Adult Application Form in PDF

The BSA Adult Application form is a crucial document for individuals looking to volunteer with the Boy Scouts of America (BSA). It plays a key role in the organization's commitment to child safety by ensuring that adult leaders are thoroughly vetted and trained. This form includes sections for personal information, background checks, and acknowledgment of BSA policies, emphasizing the importance of ethical and moral conduct in guiding youth. Click the button below to start filling out the form and take the first step in making a positive impact on young lives.

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The BSA Adult Application form is a crucible through which the Boy Scouts of America (BSA) filters the qualifications and backgrounds of potential adult leaders to ensure they align with the organization's core values and safety standards. Designed with both youth safety and leadership quality in mind, this comprehensive form requires applicants to undergo Youth Protection Training (YPT) and agree to abide by the Scout Oath, Scout Law, and Scouter Code of Conduct. Further emphasizing its commitment to safeguarding participants, the BSA mandates a criminal background check, necessitating applicants to review and sign separate authorization documents. Reflective of the BSA's inclusive yet principled stance, the application stresses the importance of adherence to the BSA's Declaration of Religious Principle while remaining nonsectarian in its approach to religious training. Leadership positions demand that candidates not only possess the moral, educational, and emotional qualities deemed necessary for imparting positive influence on young scouts but also meet specific age and residency requirements. Moreover, the form underlines the necessity for all adult leaders to maintain an upstanding character, as evidenced by an absence of criminal history or behaviors that would undermine their ability to care for and guide youth. With prescribed approvals from chartered organization heads or representatives and scout executives for unit and council or district leadership roles respectively, the application process is thorough. It extends to health disclosures to ensure leaders can safely participate in activities, subscription options for Scouting and Boys’ Life magazines, and outlines the non-refundable nature of the registration fee, underscoring a comprehensive approach to selecting and educating adult volunteers who play a pivotal role in shaping future citizens through the BSA program.

Preview - Bsa Adult Application Form

ADULT APPLICATION

This application is also available in Spanish. Esta solicitud también está disponible en español.

Your participation in the BSA can help youth become better citizens.

Adult leaders serve as important role models for youth in the BSA and this application aids the chartered organization

in selecting qualified adult volunteer leaders.

Youth Protection Training

All adult applicants are required to take this training in order to complete the adult application process. Go to my.Scouting.org to create an account and take the training online or contact your local council for classroom training. Include a copy of your completion certificate with this application.

Mission

The mission of the BSA is to prepare young people to make ethical and moral choices over their lifetimes by instilling in them the values

of the Scout Oath and Scout Law.

Criminal Background Check*

In order to complete the adult application

process, you will need to review the different disclosures that have been separately provided to you. The separate authorization form must be signed and returned when you submit your application.

Excerpt From the Declaration of Religious Principle

The BSA maintains that no member can grow into the best kind of citizen without recognizing an obligation to God and, therefore, recognizes

the religious element in the training of the member, but it is absolutely nonsectarian in its attitude toward that religious training. Its policy is that the home and organization or group with which the member is connected shall give definite attention to religious life. Only persons willing to subscribe to these precepts from the Declaration of Religious Principle and the Bylaws of the BSA shall be entitled to register.

*The three different background check forms must be torn off and each separately given to the applicant.

SKU 655528

524-501

2020 Printing

02/2020

Leader Requirements

The BSA is open to all who meet the requirements, and leaders are selected based on individual merit. Adult leaders must possess the moral, educational, and emotional qualities that the BSA deems necessary for positive leadership to youth. They must also:

Abide by the Scout Oath, Scout Law, and Scouter Code of Conduct. The Scouter Code of Conduct can be found at www.scouting.org/health-and-safety/gss/bsa-scouter-code-of-conduct/.

Subscribe to the precepts of the Declaration of Religious Principle.

Reside within the USA or a U.S. territory, or be a U.S. citizen residing outside the USA.

Be 21 years of age or older for primary leadership positions.

Be 18 years of age or older for assistant leadership positions.

Complete Youth Protection training (YPT) before application is processed and renew training as required by going to my.Scouting.org and creating an account.

Review the disclosure information related to the BSA’s background check process and complete and sign a Background Check Authorization form.

Take leader position-specific training at my.Scouting.org. Classroom training may also be available through your local council.

APPROVAL REQUIRED—UNIT ADULTS

Chartered organization head or chartered organization representative. The chartered organization representative is approved by the head of the chartered organization. All other adult leader applications must be accepted and approved by the head of the chartered organization or the chartered organization representative.

APPROVAL REQUIRED—COUNCIL and DISTRICT ADULTS Scout executive or designee must accept and approve all council and district adults.

Scout executive or designee must approve any adults who answer “yes” to any Additional Information question.

The adult leader application process will not be complete until Youth Protection training has been completed and a criminal background check has been obtained.

Health information. You should inform your unit leadership of any condition that might limit your participation. Before participating in activities with your unit, please fill out the Annual Health and Medical Record, No. 680-001, found on www.scouting.org/forms and provide it to your unit leadership.

Scouting magazine. All registered, paid adult leaders receive Scouting magazine; $2 of the registration fee is for the subscription.

Boys’ Life. Registered adults get a special rate. For a subscription to a magazine that helps children grow in the Scouting program, just fill in the Boys’ Life circle on the application and pay the subscription price.

The annual national registration fee is nonrefundable.

BSA Privacy Policy

The BSA protects the confidentiality of the names and personal information of those who are affiliated with the organization. No commercial or unauthorized use is made of the names, addresses, and other confidential information. The BSA and its affinity groups may use registration information to notify registrants of benefit opportunities.

For general questions, contact your local BSA council.

What Is the BSA Program?

The BSA program is outlined in the official publications of the BSA. Activities that are not in these BSA publications are not a part of the Scouting program. Leaders must not allow youth members or program participants to engage in any unauthorized or prohibited activities.

Training for New Leaders

The BSA is committed to your success as a volunteer while serving young people. To help you be successful there are training materials designed for you. Training resources are available through your local council and at my.Scouting.org.

What Makes a Trained Leader?

You are considered a trained leader when you have completed leader position-specific training for your position and have current Youth Protection training.

Youth Protection Begins With You™

Child abuse is a serious problem in our society, and unfortunately, it can occur anywhere, even in Scouting. For that reason, the BSA continues to create barriers to abuse beyond what have previously existed in Scouting.

The BSA is committed to providing a safe environment for young people. All adult leaders must complete Youth Protection training as part of the registration process and renew their training as required. It is highly recommended that parents who participate in Scouting activities complete YPT. To learn more about the BSA’s Youth Protection resources, go to www.scouting.org/training/youth-protection/.

Mandatory Reporting

All persons involved in Scouting must immediately report to local authorities any good-faith suspicion or belief that any child is or has been physically or sexually abused; physically or emotionally neglected; exposed to any form of violence or threat; or exposed to any form of sexual exploitation including the possession, manufacture, or distribution of child pornography, online solicitation, enticement, or showing of obscene material. No person may abdicate this reporting responsibility to any other person.

Additionally, any known or suspected abuse or behavior that might put a youth at risk must also be reported to the local Scout executive or the Scouts First Helpline (1-844-SCOUTS1 or 1-844-726-8871) if your Scout executive or local council cannot be reached.

Youth Protection Policies

Two registered adult leaders 21 years of age or over are required at all Scouting activities, including meetings. There must be a registered female adult leader over 21 in every unit serving females.

A registered female adult leader over 21 must be present for any activity involving female youth.

One-on-one contact between adult leaders and youth members is prohibited both inside and outside of Scouting.

These and other key Youth Protection policies are addressed in the training and at www.scouting.org/ training/youth-protection/.

To learn about the BSA’s other health and safety policies, please review the online version of the Guide to Safe Scouting, the Scouter Code of Conduct, and the Sweet Sixteen of BSA Safety, which are available at www.scouting.org/health-and-safety.

Scout Oath

On my honor I will do my best to do my duty to God and my country and to obey the Scout Law; to help other people at all times; to keep myself physically strong, mentally awake, and morally straight.

Scout Law

A Scout is trustworthy, loyal, helpful, friendly, courteous, kind, obedient, cheerful, thrifty, brave, clean, and reverent.

Please print one letter in each space.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BSA ADULT APPLICATION

 

 

 

 

 

 

 

 

First name (Full legal name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle name

 

 

Last name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suffix

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Preferred nickname:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country

 

Home address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

Zip code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Primary phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alternate phone

 

 

 

 

 

Ext.

 

 

 

 

 

 

 

Date of birth (mm/dd/yyyy)

 

 

 

 

 

 

 

 

All questions MUST be answered.Write NONE if applicable.

1.

Scouting background.

 

 

Position

Council

Year

 

____________________________________

 

____________________________________

 

____________________________________

2.

Experience working with youth in other

 

organizations. Please provide contact information.

 

____________________________________

 

____________________________________

 

____________________________________

3.

Previous residences (for last 10 years).

 

City

 

State

 

 

 

 

-

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

Ethnic background:

Native American

Black/African American

Caucasian/White

Hispanic/Latino

 

 

 

Social Security No. (required)

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alaska Native

Asian

Driver’s license No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pacific Islander

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Occupation

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

/

State

/

Gender

M F

 

_______________________ ____________

 

_______________________ ____________

 

_______________________ ____________

4.

Current memberships (religious, community,

 

business, labor, or professional organizations).

 

____________________________________

 

____________________________________

 

____________________________________

5.

References. Please list those who are familiar with

-

 

 

-

 

 

 

 

your character. References may be checked.

Name___________________________________

Telephone (_____)_________________________

Country

Business address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position code

 

Scouting position title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email address

Work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Select one)

Home

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

Zip code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you an Eagle Scout? Date earned (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

 

 

/

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Boys’ Life

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

subscription

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name___________________________________

Telephone (_____)_________________________

Name___________________________________

Telephone (_____)_________________________

6. Additional information.

Yes No

(Mark each answer.)

○ ○

a. Have you ever been removed from

or asked to leave a leadership

 

position in an organization due to

 

allegations regarding your personal

 

conduct or behavior? Explain:

 

I hereby certify that:

 

 

 

 

 

 

 

 

 

 

1.

I have read and affirm that I accept the Declaration of Religious Principle. I agree to comply with the rules and regulations of

INITIALS

 

 

 

 

 

the BSA and the local council, including the Scouter Code of Conduct.

REQUIRED

 

 

 

 

 

 

_________

Signature of applicant

 

Date

2.

I affirm that the information contained in this application is true and accurate to the best of my knowledge and belief.

INITIALS

YPT completion certificate attached

Background Check Authorization form attached

 

 

REQUIRED

 

 

_________

To be completed by unit

Careful review of the information provided on this application is a significant step in Scouting’s efforts to protect its youth members and deliver a quality program.

APPROVALS FOR UNIT ADULTS: I have reviewed this application and the responses to any questions answered “Yes,” and

 

APPROVAL FOR COUNCIL AND DISTRICT ADULTS: I have reviewed this application and have made any follow-up inquiries

have made any follow-up inquiries necessary to be satisfied that the applicant possesses the moral, educational, and

 

necessary to be satisfied that the applicant possesses the moral, educational, and emotional qualities to be an adult leader

emotional qualities to be an adult leader in the BSA.

 

in the BSA.

 

 

 

 

 

 

b. Do you use illegal drugs or abuse

○ ○

alcohol? Explain:

 

c. Have you ever been arrested for a

○ ○

criminal offense (other than minor

 

traffic violations)? Explain:

 

d. Has your driver’s license ever been

○ ○

suspended or revoked? Explain:

 

Signature of chartered organization head or representative

 

 

 

Unit

Pack

Troop

New leader

Position change

type:

Crew

Ship

Former leader

Participant

 

 

 

 

 

 

 

District name

 

 

 

Unit

 

 

 

 

 

OR

 

 

 

 

 

No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Registration $

 

 

 

 

 

Boys’ Life

$

 

 

fee

 

 

 

 

 

 

 

fee

 

 

 

Date

Signature of Scout executive or designee

Date

If applicant has an unexpired membership certificate, registration may be accomplished at no charge by transferring the registration or multiple registering.

Transfer application

 

 

 

 

 

 

Enter membership number

 

 

 

Multiple application

 

from unexpired certificate:

 

 

 

 

Unit

Pack

Troop

 

 

 

Council No.:

 

 

Unit No. or

 

 

 

 

 

type:

Crew

Ship

District name:

 

 

 

 

 

 

 

 

 

 

 

 

 

PAID: ○ Cash

○ Check No. _________

○ Credit card

e.

Have you ever been investigated for,

○ ○

 

accused of, or charged with abuse or

 

 

neglect of a minor child? Explain:

 

f.

Are you aware of any reason

○ ○

not listed above that may call into question your suitability to supervise, guide, care for, and lead young people?

524-501

Tear off the following pages and provide to applicant separately.

BACKGROUND CHECK

DISCLOSURE

A consumer report is a background check in which information (which may include, but is not limited to, criminal background, driving background, character, general reputation, personal characteristics, and mode of living) about you is gathered and communicated by a consumer reporting agency (“CRA”) to Boy Scouts of America and/or its subsidiaries, affiliates, other related entities, and/or successors (the “Company”).

Company may obtain a consumer report on you to be used for employment purposes (in your case, this means for the purpose of evaluating you as a new or existing volunteer).

CALIFORNIA

STATE LAW DISCLOSURES

(Non-Credit)

Under California law, an “investigative consumer report” is a consumer report in which information on a consumer’s character, general reputation, personal characteristics, or mode of living is obtained through any means. Boy Scouts of America and/or its subsidiaries, affiliates, other related entities, and/or successors (the “Company”) may obtain an investigative consumer report (which may include information described above) from an investigative consumer reporting agency (“ICRA”) on you in connection with your status as a volunteer (i.e., for employment purposes under California law). The nature and scope of this investigation includes your character, general reputation, personal characteristics, or mode of living information, including criminal history and driving record.

The ICRA preparing the investigative consumer report and conducting the investigation will be First Advantage, P.O. Box 105292, Atlanta, GA 30348, 800-845-6004. Information regarding First Advantage’s privacy practices can be found at https://fadv.com/privacy-policy/.

Under California Civil Code section 1786.22, you are entitled to a visual inspection of files maintained on you by an ICRA, as follows:

(1)In person, if you appear in person and furnish proper identification, during normal business hours and on reasonable notice. A copy of your file shall also be available to you for a fee not to exceed the actual costs of duplication services provided;

(2)By certified mail, if you make a written request, with proper identification, for copies to be sent to a specified addressee. An ICRA complying with requests for certified mailings under California Civil Code section 1786.22 shall not be liable for disclosures to third parties caused by mishandling of mail after such mailings leave the ICRA;

(3)A summary of all information contained in your files and required to be provided by California Civil Code section 1786.10 shall be provided to you by telephone, if you have made a written request, with proper identification for telephone disclosure, and the toll charges, if any, for the telephone call are prepaid by you or charged directly to you.

“Proper Identification,” as used above, means information generally deemed sufficient to identify you, which includes documents such as a valid driver’s license, social security account number, military identification card, and credit cards. Only if you cannot identify yourself with such information may the ICRA require additional information concerning your employment and personal or family history in order to verify your identity.

The ICRA will provide trained personnel to explain any information furnished to you pursuant to California Civil Code section 1786.10 and will provide a written explanation of any coded information contained in files maintained on you. This written explanation will be provided whenever a file is provided to you for visual inspection under California Civil Code section 1786.22.

You may be accompanied by one other person of your choosing, who must furnish reasonable identification. An ICRA may require you to furnish a written statement granting permission to the ICRA to discuss your file in such person’s presence.

ADDITIONAL DISCLOSURES & BACKGROUND CHECK AUTHORIZATION

Additional Disclosures

The state disclosures below are included because state law requires them to be provided in writing. Some of the below rights, notices, or information also may apply to individuals from, applying to, or volunteering in states not listed below. There may be additional requirements, options, or provisions applicable to you and you may have additional rights under applicable law that are not required to be disclosed to you in writing.

Minnesota: You have the right to request a complete and accurate disclosure of the nature and scope of any consumer report from First Advantage, P.O. Box 105292, Atlanta, GA 30348, 800-845-6004.

New York: Boy Scouts of America and/or its subsidiaries, affiliates, other related entities, and/or successors (the “Company”) may request or utilize subsequent consumer reports (other than investigative consumer reports) on you throughout your volunteer relationship with Company. Upon request, you will be informed whether or not a consumer report was requested, and if such report was requested, informed of the name and address of the CRA that furnished the report. Your written request should be made to Company at Boy Scouts of America, Membership Standards Team S201, 1325 West Walnut Hill Lane, P.O. Box 152079, Irving Texas 75015-2079. You may also contact the Company by email at MembershipStandards@scouting.org.

AUTHORIZATION

(Please print)

Name: First ____________________ Middle _______________Last ________________________ Suffix _________

List any other names used (nickname, maiden/married last names:):_________________________________________

i

Date of Birth: _______________________________ Unit Type and Number: _______________________________

To the extent permitted by applicable law, I hereby consent to and authorize the Boy Scouts of America and/or its subsidiaries, affiliates, other related entities, and/or successors (the “Company”) to procure consumer report(s) (as defined by federal law) and/or investigative consumer report(s) (as defined by applicable California state law), which in my case means criminal background check(s)/driving record(s), on my background from a consumer reporting agency (“CRA”) or from an investigative consumer reporting agency (“ICRA”), as described in the Background Check Disclosure and the California State Law Disclosures (Non-Credit) (each of which I have received separately from the Company), as well as these Additional Disclosures & Background Check Authorization. This authorization applies only to criminal checks/driving records and does not allow the Company to obtain credit checks. I have reviewed and understand the information, statements, and notices in the Background Check Disclosure and the California State Law Disclosures (Non-Credit), as well as these Additional Disclosures & Background Check Authorization. My authorization remains valid throughout my volunteer relationship with the Company, such that, to the extent permitted by applicable law, I agree Company can procure additional consumer report(s), which in my case means criminal background check(s)/driving record(s), during my volunteer relationship without providing additional disclosures or obtaining additional authorizations. Except as otherwise prohibited by applicable law, I consent to and authorize the Company to share this information with Company’s local councils and/or chartered organizations for business reasons (e.g., to place me in certain positions, work sites, etc.). I understand that, if I am selected for a volunteer position, a consumer report will have been conducted on me.

For California, Minnesota, or Oklahoma individuals: If you would like to receive from the CRA, the ICRA, or the Company (as applicable) a copy of the report that Company may procure, please check this box.

Signature _______________________________________ Date ________________________________________

02/2020

Document Specs

Fact Description
Availability of the Form in Spanish The application is available both in English and Spanish to accommodate a diverse range of applicants.
Youth Protection Training Requirement All adult applicants must complete Youth Protection Training (YPT) and include a completion certificate with their application.
BSA Mission Statement The BSA aims to prepare young people to make ethical choices over their lifetime by teaching them the values of the Scout Oath and Scout Law.
Background Check Authorization Applicants must review disclosures and sign a separate authorization form for a criminal background check as part of the application process.
Declaration of Religious Principle Applicants must subscribe to the precepts from the Declaration of Religious Principle and the Bylaws of the BSA to register.
Leader Qualifications and Approvals Leaders are chosen based on moral, educational, and emotional qualities. Approval for leadership positions requires a signed application by the head of the chartered organization or a representative.

Instructions on Writing Bsa Adult Application

Completing the BSA Adult Application form is an essential step for those looking to contribute to the growth and development of youth through scouting. The process involves several key steps, from providing personal information to understanding and agreeing to the organization's principles and undergoing necessary training and background checks. This guide streamlines the application process, ensuring that prospective volunteers can easily navigate through the necessary requirements to become adult leaders within the Boy Scouts of America.

  1. Start by going to my.Scouting.org and create an account, if you don't already have one, to complete the mandatory Youth Protection Training (YPT). Print the completion certificate as it needs to be attached to your application.
  2. Read the Mission, Leader Requirements, and Youth Protection Policies provided in the application to understand the values, requirements, and expectations associated with being an adult leader in the BSA.
  3. Fill in your personal information including your full legal name, preferred nickname, country, home address, city, state, zip code, primary and alternate phone numbers, date of birth, and email address.
  4. Answer questions about your scouting background, experience working with youth in other organizations, and previous residences for the last 10 years.
  5. Select your ethnic background and provide your Social Security Number and driver’s license number. This information is required for the criminal background check.
  6. Detail your current memberships in any religious, community, business, labor, or professional organizations.
  7. Provide references who are familiar with your character. Include their names, telephone numbers, and if applicable, their country, business addresses, and positions.
  8. Indicate whether you are an Eagle Scout and, if so, the date earned.
  9. Answer the Additional Information section truthfully, indicating any past conduct that might affect your application.
  10. Read and initial the Declaration of Religious Principle and the statement affirming the information provided is true and accurate. Attach the Youth Protection Training completion certificate and the signed Background Check Authorization form.
  11. For unit adults, get the application reviewed, accepted, and approved by either the head of the chartered organization or the chartered organization representative. For council and district adults, obtain acceptance and approval from the Scout executive or their designee.
  12. If applying for a subscription to Boys’ Life magazine, fill in the appropriate circle on the application and pay the subscription price.
  13. Finally, submit the completed application, along with any required fees, attachments, and approvals, to your local council office for processing.

Once submitted, the local council will review your application, perform a background check, and officially register you as an adult leader within the BSA, provided all requirements are met and approvals obtained. This thorough process ensures the safety and well-being of all participants in Scouting activities.

Understanding Bsa Adult Application

What is the purpose of the BSA Adult Application form?

The BSA Adult Application form is designed to help chartered organizations select qualified adult volunteer leaders. It serves as a tool for the Boy Scouts of America (BSA) to ensure that adults who serve as leaders are committed to the mission of the BSA, abide by its principles, and meet the moral, educational, and emotional quality standards deemed necessary for positive leadership.

Is the BSA Adult Application available in other languages?

Yes, the BSA Adult Application is also available in Spanish to accommodate a broader range of volunteers.

What is required before my application can be processed?

Before your application can be processed, you must complete Youth Protection Training (YPT), review the BSA's background check process, sign and return the Background Check Authorization form, and attach a copy of your YPT completion certificate to your application.

What is the role of Youth Protection Training in the application process?

Youth Protection Training (YPT) is required for all adult applicants to ensure they understand how to create a safe environment for youth. The training covers policies and practices aimed at preventing abuse within Scouting activities. Your application will not be processed until you've completed YPT.

Can I become an adult leader if I reside outside the USA?

Yes, you can become an adult leader if you are a U.S. citizen residing outside the USA or if you live in a U.S. territory. The BSA welcomes leaders who meet its requirements, regardless of their living situation.

What are the age requirements for adult leadership positions?

For primary leadership positions, you must be 21 years of age or older. Assistant leadership positions require you to be at least 18 years of age.

How are adult leader applications approved?

Applications for unit adults are approved by the head of the chartered organization or their representative. Applications for council and district adults are accepted and approved by the Scout executive or their designee.

Is there a fee associated with BSA registration?

Yes, there is an annual national registration fee, which is nonrefundable. This fee covers the costs of program development, training, and administration. A portion of the fee also includes a subscription to Scouting magazine.

What is the BSA’s policy on criminal background checks?

The BSA requires a criminal background check to ensure the safety and protection of youth. Applicants must review disclosure information related to the BSA's background check process and complete and sign a Background Check Authorization form as part of their application.

What happens if I have more questions about the BSA Adult Application process?

If you have additional questions, contact your local BSA council. They can provide guidance, answer questions, and help you through the application process.

Common mistakes

Filling out the BSA Adult Application form is the first step toward a rewarding experience with the Boy Scouts of America, yet several common mistakes can complicate the process. One of the primary errors is not completing the Youth Protection Training (YPT) before submitting the application. The BSA mandates this training to ensure that all adults understand how to create a safe environment for the youth. Applicants often overlook the importance of attaching the YPT completion certificate to their application, which can delay the review process.

Another frequent oversight is incorrectly or incompletely filling out the personal information section. It’s essential to provide the full legal name—including the middle name—and double-check contact details. An accurate and current email address, phone number, and home address are crucial for communication purposes. Missing or inaccurate information may result in delays or miscommunication.

Applicants sometimes fail to complete the section on the Criminal Background Check Authorization form properly. This form is vital for the BSA’s commitment to safeguarding youth members. All parts of this form should be read carefully, and every required signature must be provided. Missing or overlooking this detail can halt the application process.

A common mistake is not listing enough references or providing incomplete contact information for those references. References are a key part of confirming an applicant’s character and suitability for leadership roles within the BSA. It is important to choose individuals who can attest to the applicant's qualifications and include their full contact details.

Some applicants do not realize the importance of detailing their experience with youth outside of Scouting in the designated section. This information helps the BSA understand an applicant's broader experience with youth, providing insight into their potential as a Scout leader.

Not choosing the appropriate Scouting position or indicating the desired magazine subscriptions can also be an oversight. Each role within the BSA comes with specific responsibilities and requirements. Furthermore, indicating interest in subscriptions like Scouting magazine or Boys’ Life can enhance an applicant’s engagement with BSA materials and updates.

Another common mistake lies in the handling of the disclosure form for background checks. This document must be carefully detached and provided separately as instructed. Not following these instructions can compromise the applicant's privacy and the integrity of the process.

Failing to review and accept the Declaration of Religious Principle, the Scout Oath, and Scout Law is a critical error that some applicants make. Acknowledging and committing to these principles is a cornerstone of participation in the BSA. Every applicant must demonstrate understanding and agreement by initiating in the indicated section.

Lastly, neglecting to provide current health and medical information can be a significant oversight. While this might not be part of the initial application process, promptly updating the unit leadership about any medical conditions or limitations ensures the safety and well-being of both the applicant and the youth they will serve.

Documents used along the form

When someone decides to become part of the Boy Scouts of America (BSA) as an adult volunteer, filling out the Adult Application form is a crucial step. This form requires thorough information about the applicant and includes requirements such as completing Youth Protection Training. However, this is just the beginning. Alongside the Adult Application, several other documents and forms are typically needed to complete the process and ensure a safe and effective environment for everyone involved. Below is a list of additional forms and documents often associated with the BSA Adult Application form.

  • Annual Health and Medical Record (No. 680-001): This form is necessary for adult leaders to complete before participating in any Scouting events. It gathers health information to ensure the safety and well-being of participants during Scouting activities.
  • Youth Protection Training certificate: This certificate shows that an adult has completed the required Youth Protection Training, an essential requirement for anyone involved with the BSA. The training helps in recognizing and preventing abuse within Scouting.
  • Background Check Authorization: A signed form is required to perform a criminal background check, ensuring the safety and security of the youth in the program.
  • Scouter Code of Conduct Acknowledgment: This document outlines the behavior expected from adult leaders within the BSA, promoting a safe and positive environment for everyone.
  • Declaration of Religious Principle: By signing this, the applicant acknowledges the BSA's stance on the importance of recognizing an obligation to God within its program, while being nonsectarian in approach.
  • Volunteer Leadership Position Application: This is for specific leadership roles within the BSA, outlining qualifications and expectations for those positions.
  • BSA Privacy Policy Acknowledgment: Applicants must acknowledge the BSA's policy on the confidentiality and proper use of personal information.
  • Additional Disclosures & Background Check Authorization: Separate forms provided alongside the initial authorization, offering more detail on the background check process and seeking additional consent if necessary.

Together, these forms and documents create a comprehensive application process that aids in selecting qualified volunteers while protecting the youth and upholding the values of the BSA. Each document plays a vital role in ensuring that adult leaders are well-prepared and that the environment provided for the Scouts is as safe and enriching as possible.

Similar forms

The BSA Adult Application form closely resembles an employment application form used by organizations to screen potential employees. Both forms require personal information, detailed work history, educational background, and references that can attest to the character and abilities of the applicant. Just like in the BSA form, employment applications often include sections where applicants must disclose any criminal history and may require the applicant to certify that the information provided is accurate and complete. The goal of both documents is to ensure that candidates are well-vetted and suitable for the roles they seek, emphasizing the importance of integrity and responsibility.

Another document similar to the BSA Adult Application form is a volunteer application form commonly used by non-profit organizations. These forms collect personal information, work and volunteer history, and specific skills or experiences relevant to the volunteering opportunities. Like the BSA form, they often include statements of agreement with the organization's principles and policies and may require applicants to undergo background checks to ensure the safety and compatibility of volunteer work with the organization’s values and needs, underlining the commitment to a safe and productive environment.

The form also mirrors a college or university application in several ways. Educational applications solicit detailed personal information, academic history, extracurricular activities, and often require the submission of personal essays or statements of purpose. Moreover, like the BSA application, they include an acknowledgment section where applicants affirm the truthfulness of their application and consent to background checks or academic verifications, illustrating the attention to the accuracy and integrity of the application process.

A lease application for residential property is yet another document that shares characteristics with the BSA Adult Application form. Lease applications require comprehensive personal information, employment history, income verification, references, and often a background and credit check. Similar to the BSA form, these applications involve the applicant agreeing to certain terms and conditions, and signing off on various disclosures, ensuring that the applicant meets the criteria set forth by the property management or landlord for residency.

Lastly, the BSA Adult Application form has similarities with a professional certification or license application. These documents require in-depth personal information, educational background, evidence of completed training or education related to the field, and sometimes, passing scores on relevant exams. Additionally, they include sections where applicants must disclose any legal or ethical issues in their past, parallel to the background check authorization in the BSA form. Both types of application hold the underlying goal of ensuring that individuals meet a set standard of qualification and integrity important for professional practice or, in the case of the BSA, for leadership roles.

Dos and Don'ts

Filling out a BSA Adult Application form is a critical step in joining the Boy Scouts of America as an adult volunteer. This form not only gathers essential information about you but also ensures you're in line with the organization's values and commitment to youth protection. Here's a list of dos and don'ts that can guide you through this important process.

Do:

  1. Complete the Youth Protection Training (YPT) and attach your completion certificate with the application. This is a mandatory step to ensure the safety and protection of youth members.
  2. Read the declaration of religious principle and the background check disclosure carefully. Your understanding and consent are crucial for the integrity of the scouting community.
  3. Provide truthful and accurate information on your application. This includes your criminal background check, driving record, and any other personal conduct inquiries.
  4. Sign the Background Check Authorization form. Your signature is required to process the application and conduct necessary background checks.
  5. Use one letter per space when filling in your personal details to ensure clarity and avoid misinterpretation.
  6. Indicate your position of interest and any previous scouting background or experience working with youth. This information helps the BSA place you in a role where you can make the most impact.
  7. Review the Scouter Code of Conduct available on the BSA's official website. Abiding by these guidelines is essential for all adult leaders.

Don't:

  1. Forget to provide your social security number and a copy of your valid government-issued ID. These are required for the background check process.
  2. Overlook completing the Additional Information section where you must disclose any past criminal offenses, drug or alcohol abuse, and any other behavior that could affect your suitability as a role model for youth.
  3. Leave empty fields or write 'N/A' if a section does not apply to you. Instead, write 'NONE' to indicate that you have nothing to report in that area.
  4. Ignore the requirements for primary and assistant leadership positions, including age restrictions and residency requirements.
  5. Forget to check the boxes for a Boys’ Life magazine subscription or other optional elements of the application that might interest you.
  6. Delay in submitting your Adult Application form after completing your YPT and gathering all necessary documentation.
  7. Fail to inform your unit leadership of any health conditions that might limit your participation in scouting activities, as indicated on the Annual Health and Medical Record form.

Following these guidelines will not only streamline your application process but also demonstrate your commitment and readiness to uphold the values and standards of the Boy Scouts of America. Welcome to an exciting journey of leadership and service!

Misconceptions

There are many misconceptions about the BSA Adult Application form that can lead to confusion or hesitation among prospective volunteers. Understanding these aspects clearly can help individuals confidently contribute to the Boy Scouts of America (BSA). Below are nine common misconceptions and the realities behind each.

  1. Only people with prior scouting experience can apply: The form welcomes applications from adults with diverse backgrounds, not limited to those with previous scouting involvement.

  2. The application is available only in English: Contrary to this belief, the application is also available in Spanish, ensuring inclusivity for Spanish-speaking applicants.

  3. Completing the application automatically results in approval: Each application undergoes a thorough review process by the chartered organization and/or council to ensure the applicant meets the BSA’s standards for leadership and moral character.

  4. Youth Protection Training (YPT) can only be completed after submitting the application: Applicants are actually required to complete YPT before their application can be processed, with proof of completion attached to the application.

  5. Personal references are not verified: The references listed on the application may indeed be contacted to verify the applicant's character and qualifications for leadership.

  6. Background checks are optional: Completing and signing a Background Check Authorization form is a mandatory step in the application process, emphasizing the BSA’s commitment to the safety of its youth members.

  7. Registration fees are refundable: The application clearly states that the annual national registration fee is nonrefundable, which some applicants might overlook.

  8. All adult leaders receive Boys’ Life magazine: Actually, Boys’ Life subscriptions are available at a special rate for registered adults but are not automatically included with registration.

  9. Only certain leadership positions require training: The BSA expects all leaders to complete position-specific training and maintain current Youth Protection training, across all levels of leadership.

Understanding these aspects correctly helps ensure that adults willing to commit their time and leadership to the BSA go into the application process with clear expectations and a foundation for successful participation.

Key takeaways

Filling out the BSA Adult Application form is a crucial step for anyone looking to become a volunteer leader within the Boy Scouts of America (BSA). This document not only gathers essential personal information but also ensures that all leaders are committed to providing a safe and nurturing environment for youth. Here are four key takeaways about completing and using this form:

  1. Training and Background Checks are Mandatory: Every adult applicant must complete Youth Protection Training (YPT) as part of the application process. This can be done online at my.Scouting.org or through classroom training provided by your local council. The completion certificate must accompany the application. Additionally, consenting to and passing a criminal background check is required for all adult volunteers to ensure the safety of all participants.
  2. Adherence to BSA Policies and Principles is Non-Negotiable: The application asks each candidate to affirm their commitment to the Scout Oath, Scout Law, and the Declaration of Religious Principle. Leaders must embody the moral, educational, and emotional values deemed necessary by the BSA. This commitment includes respect for the religious beliefs of the members and a pledge to conduct oneself in a manner that is consistent with these principles.
  3. Application Approval Process: For unit-level leadership positions, the application must be reviewed and approved by the head of the chartered organization or their representative. For council and district roles, approval comes from the Scout executive or their designee. This two-tiered approval process ensures that all adult leaders are vetted by those at both the local and broader organizational levels, enhancing the overall integrity of the scouting program.
  4. Health and Privacy Concerns: Applicants are encouraged to disclose any health conditions that might limit their participation in scouting activities by submitting the Annual Health and Medical Record. The BSA also assures the confidentiality of personal information provided on the application, with a stated policy against commercial use of this data. Registered adult leaders automatically receive subscriptions to Scouting magazine, with a portion of the registration fee allocated for this purpose.

Understanding these components of the BSA Adult Application form ensures that applicants are well-informed about the expectations and requirements of becoming a leader within the BSA. The aim is to foster a safe, healthy, and respectful environment where youth can thrive under the guidance of responsible and committed leaders.

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