SIF 29.15 – Scouter Transfer Form Name of Scouter Transferring: ________________________ Address _____________________
Name Last Scout Group(s): ______________
____________________________
Start Date Last Group(s) : _______________
____________________________
End Date Last Group(s) : _______________
____________________________
Name of Last Group Leader(s):
Membership Number: ___________
____________________________________
Why did you leave your last Scout Group? __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Name of Group Transferring to: ___________________________ Role/s in Old Group
Training Completed
• • • • • • • Reference 1
Reference 2
Past Group Leader Contact Details
Past County Commissioner Contact Details
Name: _____________________________
Name: ______________________________
Phone Number: ______________________
Phone Number: _______________________
e-mail address: ______________________
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.