Instructions:
Use the print utility on your browser to print out this form. Please type or print the information clearly. Mail the completed form to:
Sarah Mountain
Office for Parish Life
300 Wyoming Avenue
Scranton, PA 18503

Scranton Diocesan Catholic Committee on Scouting
As offered through the Boy Scouts of
America

Requirements for the Bronze Pelican Award Nominations
 
 

1.                  The candidate must be currently registered in Scouting, and must be able to verify a minimum of three (3) year’s service in the Scouting movement.  

Registered since:                                            in the:

          (date)                                                  (council)  

List the positions held and honors received.  Attach additional sheet if necessary.  

 

 

 

 

 

 

2.                  Must have attended a Scouter Development Workshop within a three (3) year period or demonstrated personal growth through programs such as completing Adult Scouter Basic Training, advanced training programs such as Woodbadge, Commissioner training, or Scouting activities of a nature to have shown personal growth.  

List the names, dates and where and who presented:  

 

 

 

 

 

 

 

3.                 Must have been responsible for Catholic boys and girls working toward a Religious Emblem appropriate to their scouting age level or demonstrated a positive impact on Catholic youth through their adult leadership.  (Besides Religious Emblems Counselors, this requirement would apply to Scout leaders or Unit Committee Members of a Catholic or non-Catholic unit, District or Council level leaders or committee members, who can demonstrate they have assisted Cubs, Scouts or Explorers in the successful completion of the religious emblem work.)

List the year, unit, number of recipients, emblem received, or state specific impact actions:

 

 

 

 

 

Provide any additional information about the nominee that you feel would be of interest to the Selection Committee.  Use additional paper if needed.

 

 

 

Any Scouter through the Diocesan Catholic Committee on Scouting may submit nominations for this award.  These requirements are set forth by the Scranton Diocesan Catholic Committee on Scouting and may be modified by this committee although no honorary awards will be given.

 

Diocesan Approval  

Signed                                                              Date

Chairman, Selection Committee  

 

Signed                                                              Date                                                                                                          

Chairman, Diocesan Committee

 

 

 

Diocesan Approval

 

Signed                                                               Date

Chairman, Selection Committee  

 

Signed                                                               Date

Chairman, Diocesan Committee