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: ______