Supernova Award Application
User Manual: SupernovaApplication
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Supernova Award Application Please print or type all information. Give the month, day, and year for all dates. Part 1 – Personal Data Name ____________________________________________________________________________________________________ Address ____________________________________________________________________________________________________ City _______________________________________________ State ________________________ Zip code ___________________ Phone ____________________________________ Date of birth _______________________ Unit ___________________________ Email ______________________________________________________________________________________________________ Council ______________________________________________ Region ________________________________________________ Mentor’s name ________________________________________ Phone _________________________________________________ Email ______________________________________________________________________________________________________ Part 2 – Award This is for a Cub Scout Boy Scout Venturer Supernova Awards Dr. Luis W. Alvarez (Cub Scouts) Dr. Charles H. Townes (Webelos Scouts) Dr. Bernard Harris (Bronze—Boy Scouts) Thomas Edison (Silver—Boy Scouts) Dr. Sally Ride (Bronze—Venturers) Wright Brothers (Silver—Venturers) Dr. Albert Einstein (Gold—Venturing) Do you have questions? Please email program.content@scouting.org. Page 1 2012 Boy Scouts of America Supernova Award Application Please print or type all information. Give the month, day, and year for all dates. Part 2 – Approval Statement of Applicant I have thoroughly read the requirements for this award. I have worked closely with my mentor on each aspect of this award. I request consideration for receiving the Supernova Award. Applicant’s signature _______________________________________ Date ______________ Mentor’s Approval I have worked closely with the applicant named above in the execution of the award requirements. I have reviewed this application and recommend that the applicant receive the Supernova Award. Mentor’s signature __________________________________________ Date _____________ Unit leader’s signature _______________________________________ Date _____________ Council/District Advancement Committee’s Approval The council/district advancement committee has reviewed this application and determined that the applicant has met all requirements for the Supernova Award and has this committee’s approval and endorsement. Chair’s signature __________________________________________ Date ________________ Scout Executive’s Approval I have reviewed this application and approve the awarding of the Supernova Award to this applicant. Scout executive’s signature ___________________________________ Date _______________ Do you have questions? Please email program.content@scouting.org. Page 2 2012 Boy Scouts of America
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