Young Leader Registration and Placement Agreement

Young Leader Registration and Placement Agreement
Personal details
Name*

First Name(s)Last (Family)Name
Mobile (or contact) Phone Number*
Please enter a valid phone number.Format: 00000 000000.
Email*
example@example.com
Scouting Details
Explorer Scout Unit*
Explorer Group or placement from School DofE
Which Scout Group are you working with as a young leader?*
Which section are you working with at 1st Hertford?*
Which section are you working with at 1st Hertford Heath?*
Which section are you working with at 1st Letty Green?*
Which section are you working with at 1st Watton at Stone?*
Which section are you working with at 2nd Bengeo?*
Which section are you working with at 3rd Hertford?*
Your Team Leader's name*
YesNo
Your experience
Group / Section / Role
D of E
YesNo
At which level?*
Start date for this level*

MonthDayYear
Enter the date you started work on this level
Estimated completion date*

MonthDayYear
Enter the date you hope to complete this level
Enter your edofe number*
Name of your assessor*
Your assessor's email address*
example@example.com
My aim whilst acting as a young leader on which I will be assessed is:*
e.g. complete mission 1 of the young leader training scheme
Declaration: I have read, understood and agree to undertake the requirements and responsibilities of a Young Leader outlined in the Placement Agreement.*

Clear
Should be Empty: