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The Catholic Committee on Scouting of the Diocese of Brooklyn supports
Catholic Church Sponsored Boy Scout, Cub Scout, Venture Scout & Girl Scout Units, and promotes the earning of Religious
Emblems by Youth Members, holds an annual Retreat, Awards Convocation, Bishop's Dinner, & Peacelight Arrival and Distribution
Event.
To Join the Diocese of Brooklyn Catholic Committee on Scouting complete and submit this application form : ------------------------------------------------------------------------------------------------------------------- 2018 -2019 Application for CCOS Membership Please attach a copy of
your Scout registration card, Youth Protection Card, Virtus Training Card, a letter from your Parish Pastor stating that you
are a practicing Catholic and registered parishioner. Committee members will receive a Catholic Committee Patch and Membership
Card. Please Print and Provide All
Information:
Applicant's Name________________________________________________________________________ Applicant's Address______________________________________________________________________ City, State, Zip + 4 Code_________________________________________________________________ Tel: (H)____________________(W)______________________ (Cell)_____________________________ Email_________________________________________________________________________________ Home
Parish__________________________________________________________________________ Address of
Home Parish_________________________________________________________________ Scouting Unit
#: Pack______, Troop_____ Crew_____ Girl Scout Troop #______ Unit Sponsor:__________________________________________________________________________ Sponsor's Address______________________________________________________________________ Unit
Meeting Time and Day_______________________________________________________________ Unit/
District/ Council Position Held_________________________________________________________ Name
of Scouting District/ Service Unit______________________________________________________ Date
last completed Youth Protection________________, Virtus Taken____________________________
I am willing to serve on the following committee or event staff:(Circle one or more) [
] Virtus Youth Protection Trainer, [ ] Catholic Scouter Development Trainer, [ ] Membership, [ ] Youth Religious Emblems
Counselor, [ ] Convocation Event, [ ]Bishop's Dinner, [ ]Peacelight Arrival and Diocesian Distribution, [ ]CCOSBQ Web site contributor, [ ]Communications, [ ] Catholic Scout Unit Commissioner, [ ] Retreat, [ ] Adult Recognitions,[ ] Chaplain,
[ ] Event Photographer, [ ] Scout Sunday, [ ] Bishop's Gold and Eagle Award Certificate
Presentations [ ] Other Volunteer Interests or Skill :_____________
Mail
Completed Application to : Paul D. Stanton
Chairperson, Catholic Committee on Scouting Diocese
of Brooklyn & Queens
2 Hinckley Place, 1L Brooklyn,
N.Y. 11218
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