Join NOSSA

First Name

Last Name

Email Address

Address

City

State

Zipcode

Phone

Are you currently registered with the BSA? Are you currently registered with the BSA? Yes No

If so what position(s) (per My.Scouting)

Ship(s) number/name/city as a youth, if applicable.

Current Ship number/name/city, if registered right now.

Highest Sea Scout rank Highest Sea Scout rankMemberApprenticeOrdinaryAbleQuartermaster

Date if Quartermaster (will be verified)

Are you an Eagle Scout? Are you an Eagle Scout? Yes No

Date of BoR on Eagle Scout certificate

Have you earned the Venturing/Exploring Silver or Summit award? Have you earned the Venturing/Exploring Silver or Summit award? Yes No