Adult Leader Position Specific Training Record

Course #: S11 Course Title: Introduction to Outdoor Leader Skills

First Name: *

Last Name: *

Preferred E-Mail Address: *

Preferred Phone Number: *

Unit Number: *

Select District: *

Position: *

BSA Membership ID#: *

Completed Youth Protection Training *

If yes, date completed: +

Training Tasks Required

Training Reference required: *

	Date Completed:	Trainer Initials:
Boy Scout Handbook	Date Completed:	Trainer Initials:

US Flag Ceremony Procedures *

	Date Completed:	Trainer's Initials:
Properly display, raise, lower and fold the US Flag.	Date Completed:	Trainer's Initials:
Demonstrate proper conduct of Flag ceremonies.	Date Completed:	Trainer's Initials:
Explain importance of respect for the US Flag.	Date Completed:	Trainer's Initials:

Interfaith Worship *

	Date Completed:	Trainer's Initials:
Explain the importance of religious principle as addressed in the Scout Oath or Promise and Scout Law and the application for membership.	Date Completed:	Trainer's Initials:
Strongly emphasize the spiritual ideals of Scouting.	Date Completed:	Trainer's Initials:
Discuss the importance of respecting the religious obligations of others.	Date Completed:	Trainer's Initials:
Explain the commitments implied through duty to God, reverence toward God, fulfillment of religious duties, and respect for the beliefs of others.	Date Completed:	Trainer's Initials:
Describe the firm requirements of some faiths regarding observance of the Sabbath.	Date Completed:	Trainer's Initials:
Make provisions for four major faiths—Protestant, Catholic, Jewish, and Mormon—and make other appropriate arrangements based on needs of the local area.	Date Completed:	Trainer's Initials:
Show through spirit, example, and program presentation, the development of spiritual values.	Date Completed:	Trainer's Initials:
Tell why religious instruction is the responsibility of the member’s parents and religious institution.	Date Completed:	Trainer's Initials:
Plan religious services that reflect an interfaith worship different from a “non- denominational” service—which means Protestant and is unsuitable for many faiths, including non-Christians.	Date Completed:	Trainer's Initials:
Present a suitable grace at mealtimes.	Date Completed:	Trainer's Initials:

Campfire Program *

	Date Completed:	Trainer's Initials:
Set a campfire program without formal instruction.	Date Completed:	Trainer's Initials:
Utilize the campfire program to promote fun and bonding through mutual interest and enjoyment.	Date Completed:	Trainer's Initials:
Create a lively and entertaining program for the outdoors.	Date Completed:	Trainer's Initials:
Teach Scouts how to conduct their own campfire programs, with or without leader participation.	Date Completed:	Trainer's Initials:

Campsite Selection *

	Date Completed:	Trainer's Initials:
Demonstrate proficiency in selecting, establishing, maintaining, and breaking down camp- sites with consideration for patrol safety, preventing damage to equipment, and minimizing harm to the environment.	Date Completed:	Trainer's Initials:
Pitch a tent and spend at least one overnight in it.	Date Completed:	Trainer's Initials:

Ropes - Whipping, Tying and Lashing *

	Date Completed:	Trainer's Initials:
Whip and fuse rope.	Date Completed:	Trainer's Initials:
Tie two half hitches and the taut-line hitch, and demonstrate how these knots are used for pitching a tent.	Date Completed:	Trainer's Initials:
Tie the timber hitch and clove hitch.	Date Completed:	Trainer's Initials:
Demonstrate the square, shear, diagonal, tripod, round, and floor lashings, and explain the appropriate and inappropriate uses for these lashings.	Date Completed:	Trainer's Initials:
Use the timber hitch and clove hitch to join two or more poles or staves together.	Date Completed:	Trainer's Initials:
Use lashing to make a useful camp gadget.	Date Completed:	Trainer's Initials:
Tie the bowline knot and tell how it can be used.	Date Completed:	Trainer's Initials:

Woods Tools - Knife, Camp Saw and Ax *

	Date Completed:	Trainer's Initials:
Demonstrate the proper methods when using a pocketknife, camp saw, and ax.	Date Completed:	Trainer's Initials:
Properly care for and sharpen woods tools.	Date Completed:	Trainer's Initials:
Explain when woods tools should be used.	Date Completed:	Trainer's Initials:
Using the knife, saw, and ax properly, prepare tinder, kindling, and fuel for a cooking fire.	Date Completed:	Trainer's Initials:

Firesite Preparation and Building *

	Date Completed:	Trainer's Initials:
Demonstrate the proper use, safety, maintenance, and care of backpacking stoves and fuel containers.	Date Completed:	Trainer's Initials:
List environmental and safety considerations in selecting a fire site and fire- wood, and the construction, use, and care of a campfire.	Date Completed:	Trainer's Initials:
Explain the function and rationale for using fires and whether a ground fire should be built or a backpacking stove should be used.	Date Completed:	Trainer's Initials:
Prepare and build a safe, functional, environmentally sound campfire.	Date Completed:	Trainer's Initials:
Explain the types and functions of common fire starting materials and demonstrate how to light a campfire.	Date Completed:	Trainer's Initials:
Explain how to start a fire during inclement weather.	Date Completed:	Trainer's Initials:
Demonstrate how to return the fire site to its natural state.	Date Completed:	Trainer's Initials:

Cooking *

	Date Completed:	Trainer's Initials:
Plan and budget a nutritious, well-balanced meal for one person and for a patrol.	Date Completed:	Trainer's Initials:
Cook a meal for one person and assist with planning, purchasing, and cooking a meal for a patrol.	Date Completed:	Trainer's Initials:
Establish a safe, well-organized kitchen and cooking area.	Date Completed:	Trainer's Initials:
Explain the importance of sterilizing utensils and cleaning kitchen gear.	Date Completed:	Trainer's Initials:
Demonstrate the procedures for cleanup.	Date Completed:	Trainer's Initials:
Demonstrate and explain the proper procedures for handling and storing perishable foods.	Date Completed:	Trainer's Initials:
Lead grace at a meal and feel comfortable doing so.	Date Completed:	Trainer's Initials:

First Aid *

	Date Completed:	Trainer's Initials:
Define first aid and explain what a first-aid plan is.	Date Completed:	Trainer's Initials:
Describe a systematic approach to first aid.	Date Completed:	Trainer's Initials:
Assemble a first-aid kit that includes items for specific injuries.	Date Completed:	Trainer's Initials:
Explain the considerations for first aid in pre-trip planning.	Date Completed:	Trainer's Initials:
Demonstrate how to care for someone who is choking.	Date Completed:	Trainer's Initials:

Show first aid for the following: *

	Date Completed:	Trainer's Initials:
Simple cuts and scrapes	Date Completed:	Trainer's Initials:
Blisters on the hand and foot	Date Completed:	Trainer's Initials:
Minor (thermal/heat) burns or scalds (superficial, or first-degree)	Date Completed:	Trainer's Initials:
Bites or stings of insects and ticks	Date Completed:	Trainer's Initials:
Venomous snakebite	Date Completed:	Trainer's Initials:
Nosebleed	Date Completed:	Trainer's Initials:
Frostbite and sunburn	Date Completed:	Trainer's Initials:

	Date Completed:	Trainer's Initials:
Show what to do for “hurry” cases of stopped breathing, serious bleeding, and internal poisoning.	Date Completed:	Trainer's Initials:
Prepare a personal first-aid kit to take with you on a hike.	Date Completed:	Trainer's Initials:

Demonstrate first aid for the following: *

	Date Completed:	Trainer's Initials:
Object in the eye	Date Completed:	Trainer's Initials:
Bite of a suspected rabid animal	Date Completed:	Trainer's Initials:
Puncture wounds from a splinter, nail, and fishhook.	Date Completed:	Trainer's Initials:
Serious burns (partial-thickness, or second-degree)	Date Completed:	Trainer's Initials:
Heat exhaustion	Date Completed:	Trainer's Initials:
Shock	Date Completed:	Trainer's Initials:
Heatstroke, dehydration, hypothermia, and hyperventilation	Date Completed:	Trainer's Initials:

	Date Completed:	Trainer's Initials:
Demonstrate bandages for a sprained ankle and for injuries on the head, the upper arm, and the collar.	Date Completed:	Trainer's Initials:
Show how to transport by yourself, and with one other person, a person from a smoke-filled room.	Date Completed:	Trainer's Initials:
Show how to transport by yourself, and with one other person, a person with a sprained ankle, for at least 25 yards.	Date Completed:	Trainer's Initials:
Tell the five most common signals of a heart attack.	Date Completed:	Trainer's Initials:
Explain the steps in cardiopulmonary resuscitation (CPR).	Date Completed:	Trainer's Initials:

Plant Identification *

	Date Completed:	Trainer's Initials:
Discuss the seasonal plants in their area.	Date Completed:	Trainer's Initials:
Explain the use of plants in nature.	Date Completed:	Trainer's Initials:
Identify and explain the treatment for exposure to certain poisonous plants.	Date Completed:	Trainer's Initials:
Tell how they will help instill interest in and respect for trees, plants, and vegetation.	Date Completed:	Trainer's Initials:

Animal Identification *

	Date Completed:	Trainer's Initials:
Demonstrate knowledge and respect for animals in their community.	Date Completed:	Trainer's Initials:
Explain how they will create the desire to learn more about animals.	Date Completed:	Trainer's Initials:
Discuss and identify signs, tracks, nests, and additional evidence of animal life in their community.	Date Completed:	Trainer's Initials:

Packing and Hiking Techniques: *

	Date Completed:	Trainer's Initials:
Explain the techniques of safe hiking and its benefits for enjoying nature, physical fitness, and nurturing self-reliance (personal growth).	Date Completed:	Trainer's Initials:
Explain the who, what, where, when, why, and how of planning a safe hike.	Date Completed:	Trainer's Initials:
Tell how to select the right footwear, clothing, and other gear.	Date Completed:	Trainer's Initials:
Explain the importance of setting a pace and resting when hiking.	Date Completed:	Trainer's Initials:
Pack a neat, well-balanced, and systematically organized backpack or daypack that is comfortable to wear and efficient to use while hiking.	Date Completed:	Trainer's Initials:
Demonstrate the ability to pack items for accessibility on the trail.	Date Completed:	Trainer's Initials:

Finding Your Way - Map and Compass Reading *

	Date Completed:	Trainer's Initials:
Define what a map is, how it is used, and tell how maps can be obtained.	Date Completed:	Trainer's Initials:
Demonstrate how to read and interpret a map for descriptions, direction, distance, scale, and detail.	Date Completed:	Trainer's Initials:
Interpret a map effectively for safe travel in the country or backcountry.	Date Completed:	Trainer's Initials:
Read and use a compass effectively for safe travel in the backcountry.	Date Completed:	Trainer's Initials:
Find your way using a map and compass.	Date Completed:	Trainer's Initials:

Leave No Trace *

	Date Completed:	Trainer's Initials:
Explain the principles of Leave No Trace.	Date Completed:	Trainer's Initials:
Explain the meaning of the BSA’s Outdoor Code and how it affects users of the outdoors and camping ethics.	Date Completed:	Trainer's Initials:
Commit to Leave No Trace and to apply these principals to all outdoor adventures.	Date Completed:	Trainer's Initials:
Explain the BSA concept of the levels of outdoor program and where their Scouting units likely fit into this scheme.	Date Completed:	Trainer's Initials:

Trainer Certification

First Name: *

Last Name: *

BSA Membership ID#: *

Trainer's Email Address: *

Phone #:

Select District: *

Unit Number:

The above name individual has successfully complete Cub Scout Den Leader and Assistant Specific Training (C41 / C42)

Trainer Certification: Enter signature using mouse or finger on tablet device. *

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By submitting, you are electronically sending this form to the
Daniel Webster Council, Boy Scouts of America

This form is being submitted electronically to Brian Doehner, Registrar and to your
District Training Chaiman for processing.

Thank you for your leadership to the Boy Scouts of America.

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