Merit Badge Application Form 2023 2024

BSP Form No. 17 (Rev.
07-24-12)
BOY SCOUTS OF THE PHILIPPINES

National Office
Manila
MERIT BADGE APPLICATION
Date _November 17, 2017______
(Date of Merit Badge Application is applied for)
I, JAHN HANLLEY SISON hereby certify that I have been a holder of

(Scout’s complete name in block letters)
the MEMBERSHIP ___since November 17, 2017 that I am a member of
(Present Scout Rank Badge) (Date passed the Board of Review)
____115_____, CABUYAO INTEGRATED NATIONAL HIGH SCHOOL, LAGUNA Council
(Troop / Outfit No.) (Sponsoring Institution)
and that I am qualified to work on the requirements for the SAFETY Merit Badge.
JAHN HANLLEY SISON

(Signature over Printed Name)
APPROVED:
ERICSON R. PAGADUAN
(Signature over Printed Name of Troop Leader / Outfit Advisor)
NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with
an accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.
MERIT BADGE COUNSELING APPOINTMENT

Merit Badge Requirements / Projects Submitted Troop Leader/ Merit Badge Counselor
and Completed Outfit Advisor Signature
Date of 1st Meeting:
Have a good knowledge of simple traffic signs.
Nov. 20, 2017 Built cabinet for proper storage of medicines.
Date of 2nd Meeting:

Discussion on the common hazards at home
Dec. 1, 2017 Know how to deal safely on safe storage and use of
gasoline.
Date of 3rd Meeting:

(Optional when
requirements are NOT
satisfied during the
2nd Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be
signed by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a
careful examination of said Scout on the subject, has satisfactorily passed the test for SAFETY _
(Merit Badge Subject)
DECEMBER 4, 2017 ______ ______________________________________________
(Date Passed the Merit Badge Requirements) (Signature over Printed Name of Merit Badge Counselor)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified Advancement
Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date _ January 8, 2018______

and that I am qualified to work on the requirements for the CITIZENSHIP IN THE HOME Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Have a healthy check-up at home.
Jan. 11, 2018 Do our religious obligations.
Do our religious obligations.

Teach family members safety tips during emergencies.
Jan. 22, 2018 Practice our rights & obligations at home.

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for CITIZENSHIP IN THE HOME
JANUARY 25, 2018 ______ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date _ February 11, 2018______

and that I am qualified to work on the requirements for the CITIZENSHIP IN THE COMMUNITY Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Information dissemination on the "Prevention of Drug
Feb. 15, 2018 abuse".
Observing the proper display of the Philippine Flag.
Proper waste disposal.

Recycling activities at school.
Feb. 24, 2018 Practice our rights & obligations at home.
Know the history of our community.

(Optional when
2nd Meeting)

THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for CITIZENSHIP IN THE COMMUNITY
FEBRUARY 28, 2018______ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date March18, 2018______

and that I am qualified to work on the requirements for the FILIPINO HERITAGE Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Study life & works of our national heroes.
Mar. 24, 2018 Field Trips/ visit historical places/museums.
Date of 2nd Meeting: Observed Filipino values & Traditions.

Compile Filipino traditions & values that are worth
Apr 1, 2018 emulating.
Honoring our national heroes
(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for FILIPINO HERITAGE
April 4, 2018__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date April 20, 2018______

and that I am qualified to work on the requirements for the FIRST AID Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Know the basic first aid.
Demonstrate simple first aid.
Apr. 21, 2018
Date of 2nd Meeting: Practiced bandaging.

Do improvised stretcher.
Apr. 26, 2018

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for FIRST AID
May 8, 2018__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date May 25, 2018______

and that I am qualified to work on the requirements for the ECOLOGY Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Discussed how to prevent water pollution.
Discussed air pollution.
May 28, 2018
Date of 2nd Meeting: Study different kinds of rocks

Study the importance of ecology to us.
Jun. 7, 2018

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for ECOLOGY
June 11, 2018__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date June 28, 2018______

the EXPLORER ___since June 18, 2018 that I am a member of
and that I am qualified to work on the requirements for the CITIZENSHIP IN THE NATION Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Group discussion on national issues.
Know our political leaders.
Jun. 30, 2018
Date of 2nd Meeting: School participation involving the development of

Filipino values.
Jul. 12, 2018 Community service participation to improve our
environment.
(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for CITIZENSHIP IN THE NATION
July 15, 2018__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date July 31, 2018______

and that I am qualified to work on the requirements for the PHYSICAL FITNESS Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Observe proper diet.
Have a medical & dental check-up regularly.
Jul. 31, 2018
Date of 2nd Meeting: Do exercise daily.

Involvement in sports activities.
Aug. 14, 2018

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for PHYSICAL FITNESS
August 17, 2018__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date September 4, 2018______

and that I am qualified to work on the requirements for the SWIMMING Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Know how to swim.
Practice deep water swimming.
Sep. 7, 2018
Date of 2nd Meeting: Practice proper breathing.

Know /study different swimming stroke.
Sep. 18, 2018

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for SWIMMING
September 20, 2018__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date October 7, 2018______

and that I am qualified to work on the requirements for the SOIL AND WATER CONSERVATION Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Know the disastrous effects of water pollution.
Studies water cycle.
Oct. 9, 2018 Study the importance of soil conservation.
Improvement of waste-disposal methods.
Date of 2nd Meeting: Eliminating mosquito-breeding places.
Plating of grass covers to prevent erosion.
Oct. 22, 2018 Application of conservation measures on streams,
dams, lakes, and etc..
(Optional when
2nd Meeting)

examination of said Scout on the subject, has satisfactorily passed the test for SOIL AND WATER CONSERVATION
October 24, 2018__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date November 10, 2018______

and that I am qualified to work on the requirements for the WEATHER Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Study the type of climate in the Philippines.
Know the value of weather predictions.
Nov. 13, 2018
Date of 2nd Meeting: Making of wind vane.

Know the use of weather equipment.
Nov. 24, 2018

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for WEATHER
November 27, 2018__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date December 13, 2018______

the PATHFINDER ___since December 3, 2018 that I am a member of
and that I am qualified to work on the requirements for the EMERGENCY PREPAREDNESS Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Participated to earthquake/fire drill.
Be a member of the emergency corps.
Dec. 15, 2018 Attended trainings on risk reduction.
Date of 2nd Meeting: Involvement in emergency service/have an emergency

kit at home.
Jan. 4, 2019 Attend basic first aid training.

(Optional when
2nd Meeting)

examination of said Scout on the subject, has satisfactorily passed the test for EMERGENCY PREPAREDNESS
January 7, 2019__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date January 22, 2019____

and that I am qualified to work on the requirements for the CAMPING Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Joining overnight/day camp.
Proper storage of food during camp.
Jan. 25, 2019 Make a garbage pit.
Tent pitching.
Prepare personal camping equipment.
Date of 2nd Meeting: Do some improvised shelter.
Uses of lashing in making tripod.
Feb. 2, 2019 Prepare a balance menu.

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for CAMPING
February 6, 2019__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date February 21, 2019____

and that I am qualified to work on the requirements for the COOKING Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Make a budget for a 2-day camp.
Show the proper way of handling & storing food while
Feb. 28, 2019 on camp.
Cooking & serving meals.
Practice cooking using wood/charcoal.
Date of 2nd Meeting: Cooking food without utensils.
Prepare an economical & nutritional meal.
Mar. 4, 2019 Gather firewood.

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for COOKING
March 8, 2019__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date March 23, 2019 ____

and that I am qualified to work on the requirements for the HIKING Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Show the main points of good hiking.
Narrate the experience, purpose and objectives of
Mar. 27, 2019 hiking.
Date of 2nd Meeting: Take a picture of interesting places seen during hike.
Orienteering/trekking.
Apr. 2, 2019

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for HIKING
April 6, 2019__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date April 21, 2019 ____

and that I am qualified to work on the requirements for the ROPEWORK Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Study the various kinds of ropes and their uses.
Making distinct kinds of knots and their uses.
Apr. 24, 2019
Date of 2nd Meeting: Demonstrate proper use of knots in everyday life.

Making of knot board.
May 3, 2019

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for ROPEWORK
May 6, 2019__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date May 23, 2019 ____

the OUTDOORSMAN ___since MAY 30, 2019 that I am a member of
and that I am qualified to work on the requirements for the LIFE SAVING Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Practice rope rescue.
Study/practice lifesaving skills
May 28, 2019 Attend basic lifesaving training
Date of 2nd Meeting: Do some improvised life jackets.

Earn swimming badge.
Jun. 10, 2019

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for LIFE SAVING
June 10, 2019__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date June 27, 2019 ____

and that I am qualified to work on the requirements for the WORLD BROTHERHOOD Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Know the history of scouting in the Philippines.
Attend International camps.
Jun. 29, 2019 Communicate with foreign scouts.
Date of 2nd Meeting: Study the history of other countries.
Jul. 12, 2019

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for WORLD BROTHERHOOD
July 15, 2019__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date August 1, 2019 ____

and that I am qualified to work on the requirements for the ART Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Storytelling using pictures.
Aug. 3, 2019 Make simple house designs.
Date of 2nd Meeting: Paper mâché making.
Aug. 17, 2019

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for ART
August 19, 2019__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date September 6, 2019 ____

and that I am qualified to work on the requirements for the MUSIC Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Practice singing scouts songs/national anthem.
Study the history of music in the Philippines.
Sept. 16, 2019
Date of 2nd Meeting: Play some musical instruments.
Sept. 24, 2019

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for MUSIC
September 26, 2019__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date October 9, 2019 ____

and that I am qualified to work on the requirements for the DRAMATICS Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Know the history of drama in the Philippines.
Participates in school play to show acting ability.
Oct. 11, 2019
Date of 2nd Meeting: Write a play connected to scouting.

Skit making.
Oct. 25, 2019

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for DRAMATICS
October 27, 2019__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date February 11, 2018 ____

and that I am qualified to work on the requirements for the GO GREEN Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Study life cycle of a plants
Tree planting activities
Jun. 7, 2018 Monitoring our plant seeds

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for GO GREEN
June 11, 2018__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date June 28, 2018______

and that I am qualified to work on the requirements for the GROW GREEN Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Records tree planting activities
Selects seeds that is appropriate to our climate and soil
Oct. 22, 2018 type.

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for GROW GREEN
November 27, 2018__ __ __ ______________________________________________
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date December 13, 2018____

and that I am qualified to work on the requirements for the EARN GREEN Merit Badge.
JAHN HANLLEY SISON

APPROVED:
ERICSON R. PAGADUAN

Date of 1st Meeting: Recording different planting site.
Harvest of plants/selling to neighborhood.
Jun. 6, 2019 Recording the number of seeds planted.

(Optional when
2nd Meeting)

careful examination of said Scout on the subject, has satisfactorily passed the test for EARN GREEN
June 9, 2019__ __ __ ______________________________________________

Merit Badge Application Form 2023 2024

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BSP Form No. 17 (Rev.

BOY SCOUTS OF THE PHILIPPINES

I, JAHN HANLLEY SISON hereby certify that I have been a holder of

JAHN HANLLEY SISON

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting:

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

BOY SCOUTS OF THE PHILIPPINES

I, JAHN HANLLEY SISON hereby certify that I have been a holder of

JAHN HANLLEY SISON

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting:

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

BOY SCOUTS OF THE PHILIPPINES

I, JAHN HANLLEY SISON hereby certify that I have been a holder of

JAHN HANLLEY SISON

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting:

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

BOY SCOUTS OF THE PHILIPPINES

I, JAHN HANLLEY SISON hereby certify that I have been a holder of

JAHN HANLLEY SISON

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting: Observed Filipino values & Traditions.

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

BOY SCOUTS OF THE PHILIPPINES

I, JAHN HANLLEY SISON hereby certify that I have been a holder of

JAHN HANLLEY SISON

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting: Practiced bandaging.

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

BOY SCOUTS OF THE PHILIPPINES

I, JAHN HANLLEY SISON hereby certify that I have been a holder of

JAHN HANLLEY SISON

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting: Study different kinds of rocks

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

BOY SCOUTS OF THE PHILIPPINES

I, JAHN HANLLEY SISON hereby certify that I have been a holder of

JAHN HANLLEY SISON

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting: School participation involving the development of

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

BOY SCOUTS OF THE PHILIPPINES

I, JAHN HANLLEY SISON hereby certify that I have been a holder of

JAHN HANLLEY SISON

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting: Do exercise daily.

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

BOY SCOUTS OF THE PHILIPPINES

I, JAHN HANLLEY SISON hereby certify that I have been a holder of

JAHN HANLLEY SISON

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting: Practice proper breathing.

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

BOY SCOUTS OF THE PHILIPPINES