Badge Request Form

If you would like to have a new badge created, please fill out this form with your request. Be sure to read our Badge Creation Requests webpage before submitting.

If you are requesting multiple badges, please fill out a separate form for each badge so we can clearly understand the different requirements. If you have any questions about the request form, please contact info@mountaineers.org.

Please Note - All fields are required.

1. Contact Information *This question is required.

First Name *This question is required.

Last Name *This question is required.

Your Role (e.g. Scramble Committee Chair) *This question is required.

Email Address *This question is required. This question requires a valid email address.

2. What type of badge are you requesting? Please review our badge page to read more about each type of badge. *This question is required.

Please enter an 'other' value for this selection.

3. Badge Name *This question is required.

4. Describe Your Badge

Please describe what this badge is and why it is needed. If you can provide context for your badge, this may help reduce the processing time.
*This question is required.

5. Timeline

When are you hoping to have your badge completed? Note that it generally takes 2-4 weeks to get a badge created on the website. Please submit your request at least 4 weeks in advance of the date you need it completed.
*This question is required. This question requires a valid date format of MM/DD/YYYY.

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6. Badge Template

Click to access the Badge Template Folder in Google Drive and follow these instructions to complete your badge template.

Select the appropriate badge template for your badge type. This will open a Google Document.
Make a copy of this document and save in your Google Drive.
Rename the document with the title of the badge.
Complete all sections of the template.
Paste the sharing link to your document below:
1. Click 'Share' on the Google Document.
2. Select 'Get Link'.
3. Set the sharing so that anyone with the link can edit.
4. Copy the sharing link and past the link in the text box below.

All completed badge templates should be returned in Google Doc format. This will make it easier for us to work with you if we need to make edits and revisions.

Paste the sharing link to your completed template here:

*This question is required.

7. Artwork

Do you have an idea of what you want the badge to look like? If so, please describe it here. You can also attach photos or links to examples.

If you do not need artwork, please indicate that in the box below.

8. Please upload up to 3 images to help us understand what your badge should look like.

Max file size per image: 2 MB

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