Scout Association/Contingent Name: _________________________________________ Adult Name: _____________________________________________________Mailing Address: ________________________________________________ ______________________________________________________email: ___________________________ FAX: ________________________Phone (home): ____________________ (office):_____________________Present Scouting Position: ___________________________________________________Date of Birth: (month) ________________ (year) __________________ Height: _____________________ Weight: __________________________(circle one): Male FemaleWill you participate in Home Hospitality? Yes NoDo you have any special plans or requiest for Home Hospitality? ______________________________________________________ ______________________________________________________
Language Skills: Do you: ( ) speak ( ) read ( ) write English? Please list other languages spoken, and degree of fluency: ______________________________________________________________________ ______________________________________________________________________(Continue information and comments an additional sheets, as desired)
Scouting Background and Experience: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________
Hobbies, Skills, and Interests: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________
Occupation and Education: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________
Preferred Type of Staff Assignment (if any): ______________________________________________________________________ ______________________________________________________________________
Do You Have Any Special Health or Diet Considerations (Religion, Personal Preference, etc.) ? ______________________________________________________________________ ______________________________________________________________________
Comments or Questions: ______________________________________________________________________ ______________________________________________________________________
We appreciate your response, and welcome you to International Rendezvous '98!
Revised December 30, 1997 || Posted by the Rendezvous'98 Web Crew