C V

Nominee Address

F ** All fields must be completed **  

 

 

Brotherhood Date

Troop Number  

Select One:

N

Nominee Phone

Dues Paid for Year?

District:

H

 

Nominee Name

Ordeal Date

L

Apache Youth

Chapter (Select One):

Yes

 

No or Crew Number  

Etowah

Hornets Nest

Pueblo/Special Initiatives

Adult (Youth members are those who are less than 21 years old) Apache

Etowah

Sehwatu

Religion (required)   Service to the Lodge:

   

Service to the Troop/Crew/Council/District:

   

Service to Camp:

   

Please note - All fields on form must be completed *** All forms must be submitted to Vigil Chairman or Vigil Adviser no later than breakfast of Spring Fellowship ***

Service to Other Organizations:

   

Nominated by (Please Print)

Phone Number Proposed Vigil Name

Who would be the best brother to serve as Vigil Guide for the nominee if selected. Please provide a bio for this nominee, including church, school, work, and family (names and ages)

                             

Nomination for Vigil Honor eForm.pdf

Page 1 of 2. Nominee Name Nominee Phone. Nominee Address. Ordeal Date Brotherhood Date. Dues Paid for Year? Yes No. Troop Number or Crew Number. District: Apache Etowah Hornets Nest Pueblo/Special Initiatives. Select One: Youth Adult (Youth members are those who are less than 21 years old). Chapter ...

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