Nega Council Eagle Scout Application Checklist Form
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1NEGA Council Eagle Scout Application Checklist
Candidate’s Name: _________________________________________________
Today’s Date: _____________
Correct Form –(can be downloaded from the BSA National website: )
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Applicant’s Name Eligible and full legal name (first, middle (no initial) and last)
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Applicant’s Address (NO Abbreviations)
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Date of Birth
___/___/___
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Unit Type and Number (NO Abbreviations)
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First Class and Star Board of Review Dates Entered
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Cub, Webelos and Arrow of Light Questions Answered
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Age Requirement
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At least 4 months between First Class and Star boards of Review
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At least 6 months between Star and Life boards of Review
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At least 6 months between Life and Eagle boards of Review
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At least 6 months in a Position of Responsibility between Life and Eagle boards of Review
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Eagle Scout Service Project Started after Life Board of Review and completed prior to Eagle Board of Review
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Life Purpose statement included (requirement #6)
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Date Joined a Boy Scout Troop ___/___/___ (joining date from the Boy Scout application)
th
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All Merit Badges and Ranks earned after the above joining date and before the scout’s 18
birthday)
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Scoutmaster Conference Date
th
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Applicant’s Signature and Date (must be before 18
birthday and after all other requirements are completed)
th
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Unit Leaders Signature and Date (must be before 18
birthday and after all other requirements are completed)
th
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Committee Chairman’s Signature and Date (must be before 18
birthday and after all other requirements are
completed)
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Reference letters requested (6) (5 if not employed)
Enter Your Star Board of Review Date: ___/___/___ and your Merit Badges for Star (4 must be Eagle required):
1) ____________________________________ (required) Date: ____/____/___
2) ____________________________________ (required) Date: ____/____/___
3) ____________________________________ (required) Date: ____/____/___
4) ____________________________________ (required) Date: ____/____/___
5) ____________________________________
Date: ____/____/___
6) ____________________________________
Date: ____/____/___
Enter Your Life Board of Review Date: ____/___/___ and your Merit Badges for Life (3 must be Eagle required):
1) ____________________________________ (required) Date: ____/____/___
2) ____________________________________ (required) Date: ____/____/___
3) ____________________________________ (required) Date: ____/____/___
4) ____________________________________
Date: ____/____/___
5) ____________________________________
Date: ____/____/___
Enter your Merit Badges for Eagle (5 must be Eagle required):
1) ____________________________________ (required) Date: ____/____/___
2) ____________________________________ (required) Date: ____/____/___
3) ____________________________________ (required) Date: ____/____/___
4) ____________________________________ (required) Date: ____/____/___
5) ____________________________________ (required) Date: ____/____/___
6) ____________________________________
Date: ____/____/___
7) ____________________________________
Date: ____/____/___
8) ____________________________________
Date: ____/____/___
9) ____________________________________
Date: ____/____/___
10) ___________________________________
Date: ____/____/___
Pre-required Merit Badge Checklist:
First Aid M.B. date
___/___/___
Must be prior to Emergency Prep M.B. date ___/____/____
Canoeing M.B. date ___/___/___
Must be prior to Whitewater M.B. date
___/____/____
If any Ranks or Merit Badges were earned out of the Northeast Georgia Council, please make sure proper
documentation is included with your Eagle Application.
Revision – December 4, 2007
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