Scouting. org/media/forms. aspx. 512-728 2014 Printing Supplemental Eagle Scout Information Form The purpose of this form is to help the BSA stay in contact with you. It will also help in determining strategies to increase the number of Scouts who achieve the Eagle rank. Upon conclusion of the survey you will be dircted to a website where you can download a unique Scouting song not available anywhere else Thank you in advance for your time and input. EAGLE SCOUT RANK APPLICATION FOR COUNCIL USE ONLY COUNCIL NO. REGION TO THE EAGLE SCOUT RANK APPLICANT. The information you provide will strengthen the National Eagle Scout Association as it assists Eagle Scouts in networking with one another. This application is to be submitted after you have completed all requirements for the Eagle Scout rank. Signed Position The applicant appeared before the Eagle Scout board of review on this date and this application was approved. I certify that all procedures as outlined in the Guide to Advancement have been followed. I approve this application. Scout executive Presentation of the rank may not be made until the Eagle Scout credentials are received by the BSA local council. NATIONAL EAGLE SCOUT ASSOCIATION. As an Eagle Scout you may now join the National Eagle Scout Association a fellowship of the top achievers of the Boy Scouts of America. Each Eagle Scout who applies for membership within six months of his board of review receives a 15 discount off the regular five-year membership fee. Merit badges badges of rank and Eagle Palms may be earned by a registered Boy Scout Varsity Scout Venturer or Sea Scout. You must use the Eagle Scout Service Project Workbook No. 512-927 in meeting this requirement. Project name Date project finished Grand total of hours from Eagle Scout Service Project Workbook for statistical purposes only Date conference was held REQUIREMENT 7. Print in ink or type all information* List the month day and year for all dates. When using computer date blocks list the date July 8 2013 as 07 for July 08 for day 13 for year. When you have completed this application sign it and submit it to your unit leader. Street address or P. O. box City state zip Telephone Including area code Email NATIONAL NO. C N S W PID NO. REQUIRED FULL LEGAL NAME Use abbreviations if necessary must fit within 30 characters including spaces and punctuation* TYPE OF UNIT POSTHUMOUS Month Day Year Date became a Boy Scout Date became a Varsity Scout Date became a Venturer/Sea Scout Date of First Class Scout board of review Date of Star Scout board of review Were you a Cub Scout Yes No Troop team crew ship or Lone Scout Unit No* Were you a Webelos Scout Did you earn the Arrow of Light Award Had you completed fifth grade upon joining Unit city state zip AGE REQUIREMENT ELIGIBILITY. Scouts Venturers and Sea Scouts who have completed all requirements prior to their 18th birthday may be reviewed within three months after that date with no explanation* Refer to the Guide to Advancement No* 33088 section 8.
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