Eagle Scout Award Application Work Sheet
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1EAGLE SCOUT AWARD APPLICATION WORK SHEET
Fill this out before entering any information on your Eagle Information Form and include it in your packet.
Name of Applicant: ________________________________________________
Type of Unit & Number: ____________________________________________
City & State: _________________________
District: _____________________________
1. _____
All information to be printed or typed on Eagle Information Form.
Applicant’s name correct and legible.
2. _____
Applicant’s address. No abbreviations.
3. _____
4. _____
Unit type, local number, location. No abbreviations.
5. _____
Date joined Boy Scouts.
6. _____
Cub Scout, Webelos Scout and Arrow of Light questions answered.
7. _____
Had you completed fifth grade upon joining Boy Scouts?
8.
_____
At least four months between First Class and Star Scout Board of Review dates
_____ First Class date
_____ Star date
_____
At least six months between Star Scout and Life Scout Board of Review dates
_____ Star date
_____ Life date
9. _____
At least six months between Life Scout and Eagle Board of Review
_____ Life date
_____ Eagle date
10. _____
21 merit badges earned (day, month, year listed when earned)
_____
Earn 6 merit badges, including any 4 from the required list for Eagle prior to Star Scout Board
of Review date. (Please list only 4 required for Eagle.)
_________
1.__________
2.__________
3.__________
4.__________
Star review
#
Date
#
Date
#
Date
#
Date
_____
Earn 5 more merit badges (so that you have 11 in all), including any 3 more from the required
list for Eagle prior to Life Scout Board of Review date. (Please list only 3 required for Eagle.)
_________
1.__________
2.__________
3.__________
Life review
#
Date
#
Date
#
Date
11. _____
Must serve at least six months in a position of responsibility between Life Scout and Eagle
Board of Review date. See Boy Scout Handbook.
12. _____
Service Project completed between Life Scout and Eagle Scout Board of Review dates and
th
prior to 18
birthday.
13. _____
Scoutmaster Conference date.
14. _____
Reference form from each including SM, Parents, Educational, Religious, Employer and two
Character references of choice.
15. _____
NOTE: Board of Review must be conducted within 90 days of final application; the Board of
Review can be conducted after the scout’s 18
th
birthday.
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