INTEREST APPLICATION
| ATLANTA AREA COUNCIL, BSA 100 EDGEWOOD AVE, NE, 4th FLOOR ATLANTA, GA 30303 ATTN: JOE WILTROUT |
(NO PAYMENT IS DUE AT THIS TIME) |
I am interested in being considered as a candidate to attend Wood Badge Course 92-41 in the spring of 2001.
NAME____________________________________________ DISTRICT/COUNCIL__________________________________ - ADDRESS_________________________________________ POSITION/UNIT_____________________________________ - CITY/STATE_______________________ ZIP___________ BOY SCOUT TENURE__________________________________ - PHONE ( )_________________ LEADER TRAINING COMPLETED? (Y/N)____ IF YES, DATE___________________
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Last modified on Monday, June 21, 2004
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