Gold Medal of Achievement Application

National Royal Rangers Office

Please type or print. All information must be supplied or this application may be returned to the outpost coordinator. Please allow at least 4 weeks for the national office to process. Delivery of award package cannot be guaranteed by date specified. Submit this form, once completed, directly to the national office for processing.

Royal Rangers Ministries FAX: 417-831-8230

1445 N. Boonville Ave. Email:

Springfield, MO 65802-1894

1.  Applicant Information. The Gold Medal of Achievement may be earned by a boy in Adventure Rangers or Expedition Rangers, but all requirements must be completed before the applicant reaches 18 years of age.

District / Outpost # / Date of Ceremony
Name / Date of Birth
Address: / Grade in School:
City / State / Zip

2. Church Information (The award package chosen below will be charged to the church)

Church GPH Account # / Church PO # (if required by church)
Church Name / Phone Number / ()
Church Address / City, State Zip

3. Outpost Coordinator’s Approval

I hereby affirm that the above named applicant has met all requirements for the Gold Medal of Achievement as stated in the Adventure Rangers Handbook. I hereby recommend this applicant for this award.
Outpost Coordinator’s Signature / Date

4. Outpost Coordinator’s Address (The award package chosen below will be mailed to this address, unless otherwise requested)

Name / Daytime Phone / ()
Address
City, State Zip / Email

5. Pastoral Endorsement

To the best of my knowledge, the named award applicant has lived a life consistent with the high biblical ideals expressed in the Royal Rangers Code, Pledge, and Motto and has exemplified Christlikeness in his family, church, and school.
Pastor’s Signature / Date

6. Award Package & Shipping Options

Select an award package option (see below): Option A Option B Option C

Expedited shipping: (additional $20.00 charge per app) Yes No

Option A / Option B / Option C / A La Carte Items
If ordering A La Carte items only, add $6.95 for processing & shipping to total per application.
Medal, patch, ribbon, certificate & cover / Patch, certificate & cover / Neck medallion, certificate & cover / Item / Chartered / Non-Chartered / Qty
Chartered / Non-chartered / Chartered / Non-chartered / Chartered / Non-chartered / Ribbon / $2.12 / $2.35
Coin / $5.25 / $6.00
$26 / $30 / $12 / $14 / $20 / $24 / Hat pin / $1.78 / $2.09
Medallion / $13.34 / $15.69
Patch / $1.35 / $1.59
Medal / $13.34 / $15.69

Please note prices above in options A, B, and C include shipping/processing charges.

For replacement pricing, please contact the national office at .

Gold Medal of Achievement Requirements

Revised 2/13/15

Applicant’s Name:

Gold Medal Requirements

The Gold Medal of Achievement may be earned by a boy in Adventure Rangers or Expedition Rangers, but all requirements must be completed before the applicant reaches 18 years of age.

7a. Check each box below to verify that all general requirements have been fulfilled:

Recite from memory the RR Pledge, Code, Motto, the meaning of the points of the Emblem, and the Golden Rule.

Be a Silver Medal recipient for at least 9 months, or be a graduate of the 7th grade.

Be at least 12 years of age

Serve in one or more leadership positions in Adventure Rangers for an additional 6 months, for a total of 12 months.

Demonstrate your ability to present the plan of salvation to someone.

Complete the GMA Capstone Project. See RoyalRangers.com for details.

7b. Indicate below the merits the applicant has completed with completion dates (mm/dd/yy). Include only those merits the applicant has earned since earning the Silver Medal of Achievement award.

Revised 2/13/15

Earn (2) additional Leadership Merit, of any color:*

Merit / Date / Merit / Date
101 / 204
102 / 205
103 / 206
104 / 301
105 / 302
106 / 303
201 / 304
202 / 305
203 / 306

Earn (4) additional “numbered” Brown Bible Merits (or their equivalent, representing 32 lessons)**

Merit / Date Completed
Bible 09
Bible 10
Bible 11
Bible 12
-OR-
Completed 32 additional lessons by a combination of named & numbered merits

**A total of 96 brown Bible lessons (including alternatives) must be completed to earn the GMA. These lessons may be represented by any combination of “named” Bible merits (5 lessons each) or “numbered” Bible merits (8 lessons each)

Earn (1) additional “required” Green Skill Merit:

Merit / Date Completed
Bible
Global Missions
Healthy Body

Earn (3) additional “elective” Green or Silver Skill Merits:*

Merit / Date Completed

Elective merits may be green, silver, or any combination of the two.

*NOTE: Merits may only be counted once to satisfy advancement requirements. Any merits that have been counted for previous awards cannot be counted again here. See the Adventure Rangers Handbook for details.

Revised 2/13/15

8. Payment Options (select one) Credit Card GPH Account Cash/Check

Revised 2/13/15