Age 19 + - Scout Leader Application

Personal Information

Basic Personal Details.

* Indicates required questions
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Optional

Address Information

Permanent Address Details.

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Emergency Information

Emergency Contact Information.

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Optional

Additional Information

Employment and Contact Information.

Medical conditions

Medical conditions.

Medical conditions *

Please indicate "yes" by checking the checkbox for true responses; leave it blank otherwise.

No significant medical conditions reported.

A chronic respiratory condition that may cause difficulty in breathing.

Experiences hypersensitivity reactions to specific substances.

A neurological disorder characterized by recurrent seizures or convulsions.

A genetic blood disorder affecting hemoglobin and red blood cells.

A metabolic disorder affecting blood sugar levels and insulin production.

High blood pressure that may increase the risk of cardiovascular diseases.

Inflammation of joints causing pain, stiffness, and reduced mobility.

Background Check and Disclosures.

Background Check and Disclosures.

Background Check and Disclosures.*

Please indicate "yes" by checking the checkbox for true responses; leave it blank otherwise.

Have you been a scout leader before?

Have you ever been investigated for, accused of, or charged with abuse or neglect of a minor child?

Have you ever engaged in any behavior that may be considered a conflict of interest in your role as a Scout leader?

Have you ever violated any ethical or professional standards in your previous positions?

Have you ever been involved in an incident of workplace violence or harassment?

Have you ever been treated for a mental health condition that may impact your ability to work with youth?

Have you ever been involved in a legal dispute related to child custody or support?

Have you ever been terminated from employment due to performance or conduct issues?

Have you ever been accused of or investigated for sexual harassment or misconduct?