CHARTER RENEWAL WORKSHEET
Unit ________District______
Unit Use Only: Our unit meets on ______at ______
(Pack or Troop meeting days) (Location of Pack or Troop Meeting)
Our next Court of Honor or Blue and Gold is ______
(Date, Time and Location)
Unit Charter Renewal Report Package
___ Approval Signatures *Charter Organization Executive Officer and Cubmaster/Scoutmaster/Team Coach or Crew Advisor
(Note: if these signature lines do not appear on your printout from Internet Rechartering then you have printed the Draft copy only. For correct submission, you MUST print the Final Charter Renewal paperwork)
___ Youth Protection Training Validation
Training Report is attached and all adults do not expire before 4/30/17
___ Youth Applications
These applications MUST include all required items as defined on the reverse of this form
___ Adult Applications.
These applications MUST include all required items as defined on the reverse of this form
Fee Calculation:
Total from charter renewal paperwork (includes fees for youth and adults, Boys’ Life subscriptions, and charter renewal fee)
Amount from charter renewal paperwork (printed from Internet Rechartering): (Assuming No Changes)
Number of paid youth Total Fees :______
______Number of youth Boys Life Total Fees: ______
Number of paid adults Total Fees: ______
______Number of Adult Boys Life Total Fees: ______
Charter Renewal Fee $40
Total Fees from Online Charter Renewal Packet ______
Insurance Fees (not calculated online): (Assuming No Changes)
Number of paid and/or transferred youth
Number of Tiger Cub adults, (that are not leaders)
Number of paid and/or transferred leaders
Total x 4.80 each = $
______Number of NEW youth added to charter
______Number of NEW adults added to charter
______Total X $2.25 Dec 2015 Fee ($4.50 if Nov) $ ______
Total Registration & Insurance Due $
COMMISSIONER/PROFESSIONAL USE ONLY:
These items are required before being accepted as error free:
o Proper Payment (equal to what is listed above for total registration and insurance)
o Unit Charter Renewal Report Package complete with signatures.
o Required adult applications and information needed to process the charter
o Youth Protection Training validation report.
o Youth Applications with parent and unit leader signatures as needed to process.
Accepted as Error Free (Commissioner ) ______(date)
(Printed name and sign)
OR
Accepted as Error Free (Professional) ______(date)
(Printed name and sign)
**Attach a copy of Payment receipt to the back of this sheet before giving to Council Registrar for processing**
Youth & Adult Applications Checklist
Youth applications:
___ Unit Number
___ First (NO Nicknames or Initials) and Last Name
___ Address
___ Phone
___ Date of Birth
___ Grade
___ Parent information section (must include parent date of birth)
___ Unit leader signature
___ Parent signature
Adult applications:
___ Unit Number
___ First (NO Nicknames or Initials) and Last Name
___ Address
___ Phone
___ Date of Birth
___ Social Security Number (Required for background check)
___ Leadership position applying for (If code not known, enter written description)
___ References section (including answering all items in question 6)
___ Applicant signature
___ Charter Organization Representative Signature
___ Committee Chair signature
___ Youth Protection Certificate
___ Signed Disclosure page (this page can be found to the left of the application section)
A unit MUST have at least 5 paid youth to renew the charter (fewer than 5 will need the Scout Executive approval)
REGISTRAR USE ONLY:
Received by Registrar
Payment Discrepancies:
Short Money
Refund to Unit Account
Registrar Notes:
These items are required:
Additional Notes:
______
Attach Receipt Here: