president`s badge - Boys Brigade Malaysia

THE BOYS' BRIGADE IN MALAYSIA
PRESIDENT'S BADGE
Passport Photo
APPLICATION FORM
FORM AWA-SR01/2010-9
4 cm X 5.3 cm
Important Notice
If softcopy (in pixels)
In order to apply for the President's Badge, the following criteria must be met :
113pix X 150pix
The applicant must be a N.C.O.
The applicant must be at a minimum age of 15 years old.
The applicant must be a current member from the point of submission until approval of the award.
The applicant has obtain the minimum required number of badges as stated in the Senior Handbook.
Three (3) Assessment Forms are filled by the applicant's parent / guardian, form teacher (government / private school) and Captain.
This form must reach the BBM HQ two (2) weeks before any EXCO meeting.
Company Information
B.B. Company
State
Awards Officer's Name
Rank
Mobile
Contact
area
Email
phone number
-
Personal Information
Name (as in NRIC)
Gender
Rank
Male / Female
NRIC
Birthdate
Mobile
Contact
area
-
dd
mm
yy
Email
phone number
-
Qualification Information
Attendance Record
Year
Percentage
example:
example:
1883
99
%
%
Compulsory Awards Received
Award Description
Level
Date Awarded
Service Award
Three Year
Christian Education
Advanced
N.C.O. Proficiency Star
Advanced
Drill
Advanced
Recruitment
Basic
%
Year
Level
%
%
B.B. Camps Attended
Description
CO : Company level
ST : State level
NAT : Brigade level
INT : International level
Continue on NEXT PAGE…
Page 1 of 5
%
Interest (Group A)
Arts
Band Proficiency
Communication
Computer Knowledge
Craft
Hobbies
International Relations
Nature Awareness
Basic
Basic
Basic
Basic
Basic
Basic
Basic
Basic
Level
Advanced
Advanced
Advanced
Advanced
Advanced
Advanced
Advanced
Advanced
Proficiency Awards Received
Date Awarded
Community (Group C)
Citizenship
Community Service
Environmental Conservation
Fire & Rescue
First Aid
Life Saving
Safety
Adventure (Group B)
Camping
Expedition
Water Adventure
Level
Date Awarded
Physical (Group D)
Basic
Advanced
Athletics
Basic
Advanced
Gymnastics
Basic
Advanced
Martial Arts
Physical Training
Requirement:
Sports
1. At least six (6) badges from Group A, B, C and D awards.
Swimming
2. At least one (1) badge from each Group.
3. At least four (4) of these badges are at Advanced Level.
Level
Advanced
Advanced
Advanced
Advanced
Advanced
Advanced
Advanced
Date Awarded
Level
Basic
Advanced
Basic
Advanced
Basic
Advanced
Basic
Advanced
Basic
Advanced
Basic
Advanced
Date Awarded
Basic
Basic
Basic
Basic
Basic
Basic
Basic
Company Endorsement
I certify that the applicant has served with good conduct and has fulfilled the required conditions. I recommend him / her as suitable for
the President's Badge.
Brigade's Requirements:
Brigade Dues (current year)
Date paid:
(Due date : 30th June)
R.O.S Return
Date submitted:
(Due date : 30th June)
Statistics Return
Date submitted:
(Due date : 30th August)
Captain's signature
(Name:
/
Date
dd
)
Company Stamp
/
mm
yy
State Endorsement
I have examined the records of the abovementioned and certify that the particulars shown above are correct.
I also confirmed that this Company has met both the State and Brigade requirements.
/
Date
State Commissioner's signature
(Name:
)
dd
For BBM Headquarters use only
HQ Received Date
Brigade Secretary
Awards Chairman
Page 2 of 5
Date of Approval
/
mm
yy
THE BOYS' BRIGADE IN MALAYSIA
PRESIDENT'S BADGE
CHARACTER ASSESSMENT FORM
TO BE FILLED ONLY BY A PARENT / GUARDIAN
IMPORTANT:
This is part of the leadership development process
to nurture leaders of character (integrity, godly moral, respect, responsibility, fairness and caring),
who are passionate, knowledgeable and competent in an integrated and holistic manner.
Candidate's Name
:
Parent's Name
:
Relationship to the candidate
Qualities
Excellent
:
Good
Average
Remarks
Trustworthiness
Respect
Responsibility
Fairness
Caring
Good Example
Self-Discipline
Humility
Attitude
I would recommend the candidate for the President's Badge for the following reasons:
(Kindly state at least two reasons. Thank you.)
1
2
3
Parent's signature
:
Date
Page 3 of 5
:
THE BOYS' BRIGADE IN MALAYSIA
PRESIDENT'S BADGE
CHARACTER ASSESSMENT FORM
TO BE FILLED ONLY BY THE FORM TEACHER (GOVERNMENT / PRIVATE SCHOOL)
IMPORTANT:
This is part of the leadership development process
to nurture leaders of character (integrity, godly moral, respect, responsibility, fairness and caring),
who are passionate, knowledgeable and competent in an integrated and holistic manner.
Candidate's Name
:
Teacher's Name
:
Qualities
Excellent
Good
Average
Remarks
Trustworthiness
Respect
Responsibility
Fairness
Caring
Good Example
Self-Discipline
Humility
Attitude
I would recommend the candidate for the President's Badge for the following reasons:
(Kindly state at least two reasons. Thank you.)
1
2
3
Teacher's signature
:
School Stamp :
Page 4 of 5
Date
:
THE BOYS' BRIGADE IN MALAYSIA
PRESIDENT'S BADGE
CHARACTER ASSESSMENT FORM
TO BE FILLED ONLY BY THE CAPTAIN
IMPORTANT:
This is part of the leadership development process
to nurture leaders of character (integrity, godly moral, respect, responsibility, fairness and caring),
who are passionate, knowledgeable and competent in an integrated and holistic manner.
Candidate's Name
:
Captain's Name
:
Qualities
Excellent
Good
Average
Remarks
Trustworthiness
Respect
Responsibility
Fairness
Caring
Good Example
Self-Discipline
Humility
Attitude
I would recommend the candidate for the President's Badge for the following reasons:
(Kindly state at least two reasons. Thank you.)
1
2
3
Captain's signature
:
Company Stamp :
Page 5 of 5
Date
: