Eagle Scout Of The Year Nomination Form Page 3

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Section B – Scouting Record (continued)
On two additional pages (8 1/2 x 11 inches) (1) List leadership positions held in your Cub Scout Pack, Boy
Scout Troop, Varsity Scout Team, and/or Venturing Crew; (2) List other Scouting activities you may have partici-
pated in (Jamborees, Order of the Arrow Conferences, etc.).
Note: The screening committee will only consider information provided on the first two pages of Attachment B if more than two pages are submitted.
Section B1 – Eagle Scout Project
On two additional pages (8 1/2 x 11 inches) succinctly describe your Eagle Scout Project.
Note: The screening committee will only consider information provided on the first two pages of Attachment B1 if more than two pages are submitted.
Section C – Community Participation Record
On one additional page (8 1/2 x 11 inches) list community organizations in which you have held member-
ship excluding high school and Scouting. Additionally list other activities that you were involved with that
directly or indirectly improved life in your community.
Note: The screening committee will only consider information provided on the first page of Attachment C if more than one page is submitted.
Section D – Religious Award
Denomination: ____________________________
Name of Religious Institution: _____________________________
Name of Boy Scout Religious Emblem (Award) Received: _________________________________________________
(cannot be Cub Scout Religious Emblem)
Month and Year Received: ________________________
On one additional page (8 1/2 x 11 inches) list religious youth organizations, clubs, groups that you have
been involved in, to include honors awarded and offices held.
Note: The screening committee will only consider information provided on the first page of Attachment D if more than one page is submitted.
Section E – Career Interests
On one additional page (8 1/2 x 11 inches) describe your career interests and/or goals. The selection com-
mittee realizes that in many cases, applicants will not have decided on career goals, however, complete this
section to the best of your ability.
Note: The screening committee will only consider information provided on the first page of Attachment E if more than one page is submitted.
Section F – Letters of Recommendation and Testimony
One letter each from your religious institution, school, your community and Scouting must be included.
Two additional letters of recommendation and testimony may also be included. Please keep in mind that
the letters of recommendation are an important part of this application and will be carefully reviewed by the
screening committee.
Note: The screening committee will only consider the four required letters and the two additional letters of recommendation of Attachment F if
more than the six required letters of recommendation are submitted. Letters of recommendation will be limited to one page.
Authorization
CERTIFICATION BY EAGLE SCOUT
I certify to the accuracy of the foregoing facts. If selected, I will be free to travel to The American Legion National Convention and
participate as a member of the youth champion delegation, representing The American Legion and the Boy Scouts of America.
SIGNATURE OF EAGLE SCOUT: ____________________________________________________________ DATE: _________________
PARENTAL CONSENT
We hereby certify that the information on this application pertaining to our son’s age and grade in school is correct. We are will-
ing and desirous that he become The American Legion Eagle Scout of the Year. In consideration of the benefits derived from this
honor, if selected, we hereby voluntarily waive any claim against The American Legion and the Boy Scouts of America totally and
all representatives thereof.
SIGNATURE OF PARENT OR GUARDIAN: ___________________________________________________ DATE: _________________

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