I __________________________________ having completed the requirements for, and earned the following merit badges:
 

____ Environmental Science

____ Soil and Water Conservation
         OR
____ Fish and Wildlife Management

____ Citizenship in the World

do hereby apply for the World Conservation Award and submit this application to the Troop 174 Advancement Chairperson.

Scout's signature: ____________________________      Date: _____________
 

Date received by Advancement Chairperson: _____________

Date Recorded: _____________

Date Awarded: _____________
 

Acknowledgment: http://home.att.net/~mikeg52/wconservation.html