V1

NSW Lone Scouts Venturer On-line V1


Section 1, Venturer Personal & Activity Details
Name:*
Rego*
Address:*
Phone/Mob*
-
E-mail:*
Award Level*
VA Activity
QS Activity:
Activity Details*
Other - Please Explain
Report Format*

Section 2, Details about the Examiner/Specialist

Some activities will require a Specialist or subject Expert/Examiner.

Specialist Name:
Specialists Address:
Specialists Phone:
-
Specialists E-mail:
Is Specialist a Scouting Member
Specialists Credentials

Part 3 - Approval to Commence Details

Application Approved By
Date of Unit Council Approval
Comments by Unit Council

Part 4 - Completion Details and Final Approval

Specialists Comments if Applicable
Specialists Date of Acceptance
Specialists Signature
Unit Council Accepting Completion Report
Completion Comments by Unit Council
Date Unit Approved
Unit Chair Signature