BOY SCOUTS OF THE PHILIPPINES

National Office
Manila

APPLICATION TO ATTEND
ADVANCED TMINING COURSE (ATC)
couRSE FOR MANAGERS OF LEARNING (CML)
COURSE FOR MANAGERS OF TMINING (CMT)

Title and Course No. Date Venue

Host : NationaURegion/Council
Name Nickname
Surname Given Name (Middle Name)
Mailing Address:
CP#: Tel#: Fax# Email
Date of Birth: Place of Birth:
Religion: Council: Region:
Occupation Position:
Business Address
Scouting Position Unit & No.
Reqistration Status: Expiration Date Ceft. No.
Training Ceftiflcates received to qualify you to attend this course:
For ATC - Phase 3 Completion Ceft. No. Date issued:
or BTC Completion Certificate No. Date issued:
For CML - Wood Badge Cert.No.(2BH) Date issued:
For CMT: CMUCATT Course No. Date:
or ALT Cert No. Date issued:

Date filed Signature of Applicant

LOCAL COUNCIL OFFICE ACTION
After veriftcation of the above information, we her:eby recommend the acceptance
of the above-named Scouter to attend the aforementioned course.

Deputy Council Scout Commissioner for Training Scout Executive lOlC

Date

REGIONAL OFFICE ACTION

Verified:
By:
Date: Endorsed:
Regional Scout Director

ilATIONAL OFFICE ACTION

Processed:
By:
Date: Approved:
Director, Program & Adult Resources Dev.

Date

BUN K FORMS/Ap p ilcatlo n ( N ew )