Skip survey header

Badge Request Form

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

Max file size per image: 2 MB