Eagle Scout Reference Guide List Template
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1Eagle Scout Reference Guide List
Eagle Candidate:_____________________________________________
Fill this out and give to your Scoutmaster. These must match the references listed on your Eagle Application. List
any additional references on the back of this sheet.
Scoutmaster/Advisor Reference (Required) Name:__________________________________
Parent Reference (Required)
Name(s): ______________________________________________________
Form Distributed:
Hard Copy Print
Electronically
Both
Date Given/Sent: ________________
Date Returned to Scoutmaster________________________________
Reference Contact: Phone Number:____________________ E-mail Address:___________________________
Mailing Address:___________________________________________________________
Religious Reference (Required)
Name(s): ______________________________________________________
Form Distributed:
Hard Copy Print
Electronically
Both
Date Given/Sent: ________________
Date Returned to Scoutmaster________________________________
Reference Contact: Phone Number:____________________ E-mail Address:___________________________
Mailing Address:___________________________________________________________
Educational Reference (Required)
Name(s): ______________________________________________________
Form Distributed:
Hard Copy Print
Electronically
Both
Date Given/Sent: ________________
Date Returned to Scoutmaster________________________________
Reference Contact: Phone Number:____________________ E-mail Address:___________________________
Mailing Address:__________________________________________________________
Character Reference 1 (Required)
Name(s): ______________________________________________________
Form Distributed:
Hard Copy Print
Electronically
Both
Date Given/Sent: ________________
Date Returned to Scoutmaster________________________________
Reference Contact: Phone Number:____________________ E-mail Address:___________________________
Mailing Address:___________________________________________________________
Character Reference 2 (Required)
Name(s): ______________________________________________________
Form Distributed:
Hard Copy Print
Electronically
Both
Date Given/Sent: ________________
Date Returned to Scoutmaster________________________________
Reference Contact: Phone Number:____________________ E-mail Address:___________________________
Mailing Address:____________________________________________________________
Employer Reference (Optional)
Name(s): ______________________________________________________
Form Distributed:
Hard Copy Print
Electronically
Both
Date Given/Sent: ________________
Date Returned to Scoutmaster________________________________
Reference Contact: Phone Number:____________________ E-mail Address:___________________________
Mailing Address:___________________________________________________________
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