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Badge Request Form

Badge Request Form

IMPORTANT: Read the Badge Creation Requests webpage before submitting. 

Please allow up to 4 weeks for completion. All requests are subject to a review process and approval by staff.

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

All fields are required
1. Contact Information *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. 

Beginning in Fiscal Year 2025, Student Course badges will only be created for courses where a student badge serves as prerequisites for other activities. This update is intended to streamline available badges and emphasize essential skills for progression in courses and activities. *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar
The individuals listed here will receive administrative privileges for the badge page, allowing them to assign badges. Each applicable branch activity committee must designate a badge administrator to be included for approval.
9. Please upload up to 3 images to help us understand what your badge should look like. 

Max file size per image: 2 MB