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Print out and
complete the form below and return to:
Sarah
Mountain
Office for Parish Life
300 Wyoming Avenue
Scranton, PA 18503 |
Recommendation for the
St.
Elizabeth Ann Seton Emblem
CANDIDATE
NAME______________________________
NAME
OF SPOUSE____________________
ADDRESS___________________________________
CITY______________________
STATE______ ZIP______________
PARISH
AND PARISH TOWN_________________________________________________
REGISTERED
IN SCOUTING AS______________________
COUNCIL___________________
OCCUPATION
AND EMPLOYER______________________________________________
TELEPHONE
NUMBER-HOME_______________________
WORK__________________
PARISH
APPROVAL
On __________________, the candidate’s pastor
_________________________ approved the candidate as worthy of
receiving this emblem.
Signed_________________________________
*Please
print date and pastor’s name and have pastor sign the bottom line.
RECOMMENDED
BY:
NAME______________________________
HOME PHONE_______________________
ADDRESS_____________________________
CITY___________________________
STATE______
ZIP___________ DATE
SUBMITTED____________________________
Scranton
Diocesan Catholic Committee on Scouting
As offered through the Boy Scouts of America
Requirements for the Bronze Pelican Emblem 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 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 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 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.
The
Scranton Diocesan Catholic Committee on Scouting has agreed to honor a
maximum of 5 adults per year with the Bronze Pelican Emblem.
Please know that each nominator will be notified of the status
of the application submitted.
Council
Approval
Signed__________________________________________
Date__________________
Chairman, Catholic Committee Council
Diocesan
Approval
Signed________________________________________
Date
__________________
Chairman, Selection Committee
Signed_________________________________________
Date___________________
Chairman, Diocesan Committee
Signed_________________________________________
Date___________________
Chairman, Scout Chaplain
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