Adult Talent Form

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Do you respond to text Messages? *

YES

NO

Email Address *

YPT Date * +

General activities that I have interest in: (check all that apply) *

Current Occupation *

Check any properties that you would like to help out at. *

Mitigwa Scout Reservation

Scoutland

Foster Acres

Maytag Scout Center

Willing to help with second season programing? *

Yes

No

I would be interested in helping
plan events for the council. *

Yes

No

Are you currently registered with the BSA *

Yes

No

Scouting Affiliation (if any)
Unit, Alumni, Council, Other *

11. My areas of interest are: *

I would be interested in helping as a weekend camp master (September-May). *

Yes

No

I would be interested in helping on the weekends in the trading post. *

Yes

No

I have medical training (nurse, doctor, medic, etc) and would be interested in the weekend medical corp. *

Yes

No

I would be interested in chainsaw safety class and helping with wood cutting. *

Yes

No

Swimming/Watercraft Safety	Nature/Ecology	Sports
Crafts	Music/Songs	Citizenship
Computer Skills- Networking	Computer Skills- programming	Computer Skills- web design
Online Retail Sales	Merchandising	Drawing/Art
Hiking	Scouting Skills (e.g. pioneering, orienteering, geocaching,)	First Aid
Winter Camping/Survival	Retail Sales