First and last name of Scouter, Scouter-In-Training or Activity Leader:
Please select the Council the Scouter is a member of:
Please Select Battlefields (Ontario: Hamilton, Cambridge, Niagara, St. Catharines, Brantford, Welland) Cascadia (BC/Yukon: Victoria, Kelowna, Prince George, Whitehorse, Nanaimo, Kamloops, Cranbrook, Vernon) Central Escarpment (Ontario: Mississauga, Brampton, Burlington, Oakville, Guelph, Kitchener/Waterloo) Chinook (S. Alberta: Calgary, Lethbridge, Medicine Hat) Fraser Valley (BC: Coquitlam, Surrey, Abbotsford, Chilliwack, Port Moody, Mission, Maple Ridge, Delta, Langley) Greater Toronto (Ontario: Etobicoke, York, North York, Scarborough, Agincourt) International (Hong Kong, Geilenkirchen) Manitoba New Brunswick Newfoundland & Labrador Northern Lights (N. Alberta/NWT: Edmonton, Red Deer, Grand Prairie, Ft. McMurray, Yellowknife, Lloydminster) Northern Ontario (Sudbury, North Bay, Sault Ste. Marie, Thunder Bay) Nova Scotia Pacific Coast (BC: Vancouver, Burnaby, Richmond, The North Shore, Sunshine Coast, Sea to Sky) Prince Edward Island Quebec Saskatchewan Shining Waters (Ontario: Markham, Barrie, Parry Sound, Owen Sound, Newmarket, Orangeville) Tri-Shores (Ontario: London, Chatham, Windsor, Sarnia, Woodstock, St. Thomas, Goderich, Tillsonburg) Voyageur (Ontario/NU: Kingston, the Ottawa Valley, Ottawa, Gatineau, Rockland, Cornwall and Prescott) White Pine (Ontario: Belleville, Peterborough, Oshawa, Port Perry, Pickering, Ajax, Trenton, Whitby)
The Area the Scouter is a member of:
Select Council First...
The Group that the Scouter is a member of (e.g. 21st Regina):
Select Area First...
In 3-4 sentences (450 characters), please describe the specific outstanding act or service that the Scouter has performed, as well as the impact that act or service had on you, your child or your community (If you're unsure what a citation should include,
click here to view examples.): * 450 Characters Remaining
Please provide the approximate date that the outstanding act or service occurred (i.e., date of event or meeting):
Relationship to Scouter:
Your Email address and/or phone number: