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RECOMMENDATION FOR THE BRONZE PELICAN EMBLEM

VIEWS: 11 PAGES: 2

									                   BRONZE PELICAN AWARD NOMINATION
                                        Diocese of Providence
                                  Catholic Committee on Scouting
                              Office for Comprehensive Youth Ministry
                                        One Cathedral Square
                                   Providence, Rhode Island 02903

Name ___________________________________________ Phone _____________________________
Address _____________________________________________________________________________
City/State/Zip ________________________________________________________________________
Parish _______________________________________ City ___________________________________
Occupation _____________________________ Place of Employment ____________________________
Registered in Scouting as   _________________________ Council _______________________________
Unit Type & Number ____________________________ Chartered by ____________________________

                                      RECOMMENDED BY

Name ___________________________________________ Phone _____________________________
Address _____________________________________________________________________________
City/State/Zip ________________________________________________________________________

               Signed _____________________________________________ Date__________________



                                      PASTOR'S APPROVAL

       I _________________________________, Pastor of ____________________________ Parish
have reviewed the application of _______________________________________ for the reception of the
Bronze Pelican Award and approve of this nominee's candidacy.

               Signed _____________________________________________ Date__________________


                                     DIOCESAN APPROVAL
               Signed _____________________________________________ Date__________________
                            Chairperson Selection Committee

               Signed _____________________________________________ Date__________________
                            Chairperson Diocesan Committee

               Signed _____________________________________________ Date__________________
                            Diocesan Scout Chaplain
               REQUIREMENTS FOR THE BRONZE PELICAN AWARD
1. The candidate must be currently registered in Scouting and must be able to verify a minimum of three (3)
   years service in the Scouting movement.
       Registered since ___________________________ in the __________________ Council.

               List position held and dates:
                    Council positions _____________________________________________________
                                       _____________________________________________________

                    District positions _____________________________________________________
                                       _____________________________________________________

                    Unit positions     _____________________________________________________

                                       _____________________________________________________


2. Must have attended a Scouter Development Workshop within a three year period or demonstrated
   personal growth through programs such as completing Scouter Basic Training, Woodbadge,
   Commissioner Training, or other Scouting activities.
                    Scouter Development Workshop               Date _______________
                    Scouter Basic Training                     Date _______________
                    Woodbadge                                  Date _______________
                    Other activities                           Date _______________
                    _______________________________________________

3. Must have been responsible for Catholic boys and/or girls working toward the Religious Emblems
   appropriate to their scouting age level or demonstrated a positive impact on Catholic Youth through their
   adult leadership.
        Religious Emblems Counselor for ________ Emblem.            Date of last class ___________________
        Unit Leader                    Specific activity _________________________________________
        Other position and specific activity __________________________________________________
                 _______________________________________________________________________
        Camp-o-Reat participation ______________ Date __________________________

4. Must be active in Parish activities such as
                    Lector                   Eucharistic Minister                CCD Teacher
                    Other {list} _______________________________________________

5. Other Civic Activities      _____________________________________________________________
                               _____________________________________________________________

								
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