International Awareness Recognition

Upon fulfillment of the requirements, submit a completed application to your local Diocesan Scout Chaplain or Catholic Committee on Scouting.

For that contact name and address: check on line, contact your (arch)diocesan Youth Ministry office, your local Boy Scout service center or the National Catholic Committee on Scouting, P. O. Box 152079, Irving, Texas 75015-2079, Telephone 972-580-2114.

Certification

Cub Scout:

I completed requirement #1 and #2 and options # ____ and # ____.

(Signed by) Cub Scout: __________________________________, Age ___.

Attested by Parent or Guardian: ___________________________.

Boy Scout/Venturing:

I completed requirement #1 and #2, and options # ____  and # ____.

(Signed by) Boy Scout/Venturing: ___________________________, Age ___.

Attested by Parent, Guardian, or Leader: ___________________________.

Scouter:

I completed requirement #1 or #2, and options # ____  and # ____.

(Signed by self:) __________________________.

Send this application to your Diocesan Scout Chaplain with:

Cubs:

(___) $8.25 for the Pin and Patch recognition.

Scouts, Venturing, and/or Scouters:

(___) $14.50 for the Medallion and Patch recognition, or
(___) $16.00 for a Medallion, a Pin, and a Patch.

Name: ____________________________________________________________

Date of Birth: ______________________

Address: __________________________________________________________

City: __________________________ State: __________ Zip Code: ___________

Unit (Pack, Troop, Post) # _____________

Chartering organization: _______________________________________________

Scout Council: ______________________________________________________

Date: ___________________

(arch) Diocese/Eparchy: _______________________________________

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