Trained Volunteer Patch Program Form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Have you already earned (submitted a request) for the Core Trained Volunteer center patch ?
*
Yes, I am ready to submit classes for rocker patches
No, I want to submit my classes to complete the center patch
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Have you earned...?
New Leader Orientation (Online)
Welcome to the Service Unit
New Troop Training Learning Path (gsLearn)
Troop Fundamentals - Daisy
Troop Fundamentals - Brownie
Troop Fundamentals - Junior
Troop Fundamentals - Cadette
Troop Fundamentals - Senior
Troop Fundamentals - Ambassador
Troop Fundamentals - Daisy/Brownie
Troop Fundamentals - Junior/Cadette
Troop Fundamentals - Senior/Ambassador
Volunteer Toolkit "How To"
CPR Certification
Core Volunteer Training Calc
New Leader Orientation (Online) completion date
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Month
-
Day
Year
Date
Welcome to the Service Unit completion date
-
Month
-
Day
Year
Date
New Troop Training Learning Path (gsLearn) completion date
-
Month
-
Day
Year
Date
Troop Fundamentals completion date
-
Month
-
Day
Year
Date
Volunteer Toolkit "How To" completion date
-
Month
-
Day
Year
Date
CPR Certification completion date
-
Month
-
Day
Year
Date
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Core Volunteer Training completion date
-
Month
-
Day
Year
Date
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Which Rocker Patch Category are you submitting?
Healthy Living
Community Engagement
Traditions
The Arts
STEM
Outdoors
None
Rocker Calc
Healthy Living Info
Healthy Living Info
Healthy Living Info
Healthy Living Info
Healthy Living Info
Traditions Info
Traditions Info
Traditions Info
Traditions Info
Traditions Info
Traditions Info
The Arts Info
The Arts Info
The Arts Info
The Arts Info
The Arts Info
The Arts Info
STEM Info
STEM Info
STEM Info
STEM Info
STEM Info
STEM Info
Outdoor Info
Outdoor Info
Outdoor Info
Outdoor Info
Outdoor Info
Outdoor Info
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What Community Engagement training did you complete?
She Said What?
No Prob-llama
Youth Mental Health First Aid
Community Engagement Calc
She Said What? - 3hrs start date
-
Month
-
Day
Year
Date
She Said What? completion date
-
Month
-
Day
Year
Date
No Prob-llama - 3 hrs start date
-
Month
-
Day
Year
Date
No Prob-llama completion date
-
Month
-
Day
Year
Date
Youth Mental Health First Aid - 7 hrs start date
-
Month
-
Day
Year
Date
Youth Mental Health First Aid completion date
-
Month
-
Day
Year
Date
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Trained Volunteer Patch and Rocker Categories
*
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next
( X )
Trained Volunteer Patch Core
$
3.00
Healthy Living Rocker
$
2.00
Community Engagement Rocker
$
2.00
Traditions Rocker
$
2.00
The Arts Rocker
$
2.00
STEM Rocker
$
2.00
Outdoor Rocker
$
2.00
Mail it
Would you like to have your patch and rockers shipped to you? We will use the address provided earlier on this form.
$
3.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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