SIF 29-15 - Scouter Transfer Form

Name of Scouter Transferring: ________________________

Address _____________________

____________________________

____________________________

____________________________

Membership Number: ___________

Name Last Scout Group(s): ______________

Start Date Last Group(s) : _______________

End Date Last Group(s) : _______________

Name of Last Group Leader(s):

Why did you leave your last Scout Group? __________________________________________________________________________________

Name of Group Transferring to: ___________________________

Role/s in Old Group Training Completed

Reference 1

Past Group Leader Contact Details

Name: _____________________________

Phone Number: ______________________

e-mail address: ______________________

Reference 2

Past County Commissioner Contact Details

Name: ______________________________

Phone Number: _______________________

e-mail address: _______________________

Date Last Vetted by Scouting Ireland: _____________________

If more than 3 years you must re-submit Access NI / Garda Vetting form

Acceptance

Name_________________ Signature___________________ Date ________________

Once the Group Leader is happy for the transfer of membership to procees, they should contact the registrar in National Office to make the appropriate change on the national database. This form should not be kept on file by the Group Leader.