Religious medals and award ribbons are worn only on formal occasions. The universal youth religious award square knot (No. 5014) (Silver knot on purple background) and adult religious award knot (No. 5022) (Purple knot on silver background) may be worn at all times centered on the upper seam above left uniform pocket flap.

All Scouts and Scouters who received a religious emblem in their youth may wear the universal youth religious emblem square knot (No. 5014) centered above the left uniform pocket flap, if it is the only knot. Otherwise it may be placed in any of the positions above the left uniform pocket flap for knots. Scouts and Scouters who received the award as a Tiger Cub or Cub Scout should also wear the gold Cub Scout device (No. 5103C) centered on the knot to indicate the award was received as a Cub Scout. Those receiving a religious award as a Webelos Scout should wear the gold Webelos device (No. 5103K) centered on the knot. Similarly Scouts and Scouters who received the award as a Boy Scout should wear the gold Boy Scout Device (No. 5103D centered on the knot. Those who earned the award as an Explorer should wear the gold Exploring Device (No. 5103G) centered on the knot. If more than one emblem was earned as a youth, only one knot is worn and any combination of the appropriate devices may be worn centered on the knot. Explorers or Scout leaders who received the award as a Girl Scout, Camp Fire member or 4-H Member may also wear the universal religious emblem knot (No. 5014), but without any device.

Those who receive an adult religious award may wear the adult religious award square knot (No. 5022) centered above the left uniform pocket flap, if it is the only knot, otherwise it may be placed in any of the positions above the left uniform pocket flap for knots. Generally, the more formal medallion and ribbon is worn suspended around the neck in the same manner as the Silver Beaver Award and other similar adult recognitions.

Boy Scouts of America, Insignia Guide, No. 3064A (1998)