YTH-TLT_MEMBER PARTICIPATION APPLICATION

TLT Program Application
Name
Home Phone
Email
example@example.com
Address

Address

Street Address Line 2

CityState / Province

Zip
Age
Date of Birth

MonthDayYear
Date
Grade
Home Church
Name of school now attending
Address

School Address

Street Address Line 2

CityState / Province

Zip
Frontier Explorer

FriendTrail FriendCompanionTrail CompanionExplorerRangerFrontier Ranger
VoyagerWilderness VoyagerGuideWilderness Guide

Voyager

	List your participation in Pathfinder clubs: Club	Year	Director
1
2
3
4

I, the undersigned apply to the
position in the TLT Program. I understand that my application and future participation are evaluated on my performance in Pathfindering and my adherence to the TLT Pledge as well as the Pathfinder Pledge and Law. I agree to participate in the TIT Program as outlined in the TLT Manual and commit myself to developing my Christian leadership potential to its fullest.
Signature

Clear
Date

MonthDayYear
Date
Director Name

First NameLast Name
Director of Club Email
example@example.com
Should be Empty: