Troop Recognition Program Troop #:______
Year-long Record Keeping Form
This form is used by troop leaders/troop secretaries to keep track of the info that can earn points. This can be altered and modified as needed for the troop to keep track of the information needed for the year-end report and addendum. This report is not submitted to DSA, but the info in the report should be available if a question arises.
Dates for this information: ______to ______
Number of DSA members in the troop on Jan 1st: ______
The number of new members: + ______
Minus number of members that didn’t renew: - ______
Total number of new members: ______
New members that paid dues and participated at least once in a troop activity:
(You’ll want to keep a listing of member’s names/DSA membership expiration dates too)
Date: ______Member’s name: ______
Date: ______Member’s name: ______
Date: ______Member’s name: ______
Date: ______Member’s name: ______
Date: ______Member’s name: ______
Date: ______Member’s name: ______
Date: ______Member’s name: ______
Date: ______Member’s name: ______
Date: ______Member’s name: ______
List the names of the Dog Scouts that are in your troop at the end of the year including dog’s name and parent’s name: (1 point each)
Dog: ______Parent: ______
Dog: ______Parent: ______
Dog: ______Parent: ______
Dog: ______Parent: ______
Dog: ______Parent: ______
Dog: ______Parent: ______
Dog: ______Parent: ______
Dog: ______Parent: ______
Dog: ______Parent: ______
Badges earned by the troop members: (3 pts. each)
Dog: ______Parent: ______Badge: ______
Dog: ______Parent: ______Badge: ______
Dog: ______Parent: ______Badge: ______
Dog: ______Parent: ______Badge: ______
Dog: ______Parent: ______Badge: ______
Dog: ______Parent: ______Badge: ______
Dog: ______Parent: ______Badge: ______
Dog: ______Parent: ______Badge: ______
Dog: ______Parent: ______Badge: ______
Dog: ______Parent: ______Badge: ______
The troop members that have made great progress on their dog’s behavior during the reporting period. You may want to put this to a vote or have a nomination process.
(3 points each)
Person: ______
Briefly explain issue and improvement: ______
______
______
Person: ______
Briefly explain issue and improvement: ______
______
______
Person: ______
Briefly explain issue and improvement: ______
______
______
Organized/attended training days (specifically for training) for troop members:
(1 point each)
Date: ______Activity: ______# attended: ______
Date: ______Activity: ______# attended: ______
Date: ______Activity: ______# attended: ______
Date: ______Activity: ______# attended: ______
Date: ______Activity: ______# attended: ______
Date: ______Activity: ______# attended: ______
Organized troop meeting or troop activity: (1 point each)
Date: ______Number in attendance: ______Topic: ______
Date: ______Number in attendance: ______Topic: ______
Date: ______Number in attendance: ______Topic: ______
Date: ______Number in attendance: ______Topic: ______
Date: ______Number in attendance: ______Topic: ______
Date: ______Number in attendance: ______Topic: ______
Date: ______Number in attendance: ______Topic: ______
Date: ______Number in attendance: ______Topic: ______
Date: ______Number in attendance: ______Topic: ______
Date: ______Number in attendance: ______Topic: ______
Date: ______Number in attendance: ______Topic: ______
Date: ______Number in attendance: ______Topic: ______
Training seminars attended and shared with troop (or training videos watched and shared): (3 points each) or add list of articles/TV spots
Member: ______Seminar: ______
Date: ______Presenter(s): ______
Member: ______Seminar: ______
Date: ______Presenter(s): ______
Member: ______Seminar: ______
Date: ______Presenter(s): ______
Member: ______Seminar: ______
Date: ______Presenter(s): ______
Troop members that attend Dog Scout camp: (1 point each)
Name: ______Name: ______
Name: ______Name: ______
Name: ______Name: ______
Troop Leader (or designated person) Scoutmaster or Evaluator attends Leadership Retreat this year: Yes No (1 point each)
List of events during which the troop had an information booth or demo for the public: (1 point per event)
Date: ______Event: ______
Members that contributed: ______
Date: ______Event: ______
Members that contributed: ______
Date: ______Event: ______
Members that contributed: ______
Date: ______Event: ______
Members that contributed: ______
Date: ______Event: ______
Members that contributed: ______
Date: ______Event: ______
Members that contributed: ______
Date: ______Event: ______
Members that contributed: ______
List Community Service hours completed as representatives of DSA or the troop WITH the dogs: (1 point for every 10 hrs)
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
List Community Service hours completed as representatives of DSA or the troop WITHOUT the dogs: (1 point for every 10 hrs)
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Date: ______Hours: ______Activity: ______
Members that contributed: ______
Fundraising for a non-profit as a troop activity: (1 point for every $50)
Date: ______Total: ______Activity: ______
Members that contributed: ______
Date: ______Total: ______Activity: ______
Members that contributed: ______
Date: ______Total: ______Activity: ______
Members that contributed: ______
Date: ______Total: ______Activity: ______
Members that contributed: ______
Date: ______Total: ______Activity: ______
Members that contributed: ______
Date: ______Total: ______Activity: ______
Members that contributed: ______
Date: ______Total: ______Activity: ______
Members that contributed: ______
Date: ______Total: ______Activity: ______
Members that contributed: ______
Fundraising for DSA (5 points for every $50 submitted directly to DSA)
Date: ______Total: ______Activity: ______
Members that contributed: ______
Date: ______Total: ______Activity: ______
Members that contributed: ______
Date: ______Total: ______Activity: ______
Members that contributed: ______
Piles left by irresponsible owners cleaned up by troop members: (1 point for every 10)
Date: ______Number: ______Member: ______
Date: ______Number: ______Member: ______
Date: ______Number: ______Member: ______
Date: ______Number: ______Member: ______
Date: ______Number: ______Member: ______
Date: ______Number: ______Member: ______
Date: ______Number: ______Member: ______
Date: ______Number: ______Member: ______
Date: ______Number: ______Member: ______
Date: ______Number: ______Member: ______