All Merit Badge Counselors must be registered members of the Boy Scouts of America. Even if you are already registered in another position, you must still complete a BSA Adult Application #28-501F form with the Position Code “42”( no charge). Note: Effective April 1, 2003, the Social Security Number on all adults is required by the National Boy Scouts of America. Send this form, along with the BSA Adult Application form to the Heart of America Council, 10210 Holmes Rd, Kansas City, MO 64131-4212.
The Boy Scout Handbook instructs the Scout to meet with you, before he starts to establish a mutual understanding of the requirements and his commitment to complete those requirements.
By signing the back of this form, you agree to the following standards:
As a Merit Badge Counselor, I will:
Notify the District Advancement Chair if I can’t serve as a Merit Badge Counselor any longer this year.
Renew my merit badge application every year. If I let my membership lapse, I will complete a new BSA Adult Application for Merit Badge Counseling.
Email Leslie Staack if you wish to change the list of badges you counsel.