Eagle Scout Service Project Coach Application
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1
2Eagle Scout Service Project Coach Application
Use of this form is determined by the local council. See back page for additional information.
(Please type or print.)
Name
Unit type _________ Unit No. _________
LAST
FIRST
MIDDLE INITIAL
(Troop, Team, Crew, or “N/A”)
Address
BSA member ID No.
___________________________________________________________________
_______________________
City ____________________________ State ____ Zip _______________ Council
___________________________________________
Email ____________________________________________________ District
_______________________________________________
Phone: Home
(____)________________ Cell
(____)_______________ Work
(____)________________ Ext.
____________
(Please check a box to indicate your preferred contact number.)
Current Scouting position(s) ________________________________________Youth Protection expiration ____/____/________
To qualify as an Eagle Scout service project coach, you must:
As an Eagle Scout service project coach, I agree to:
•
Be registered with the Boy Scouts of America in any adult position.
•
Follow BSA policies and procedures as described in the Eagle
•
Be current in BSA Youth Protection training.
Scout Service Project Workbook and in section 9 of the Guide
•
Be knowledgeable about the Eagle Scout service project process.
to Advancement.
•
Be willing to work with and coach Scout–age boys.
•
Follow BSA Youth Protection policies at all times.
•
View “The Eagle Scout Service Project Coach” advancement
•
Use the BSA method of positive adult association, logic, and
educational presentation ( ) either online
common sense to help the candidate make wise decisions.
or in an instructor-led presentation, as determined by your council
•
Help Scouts develop their project plan by discussing strengths,
advancement committee.
weaknesses, and risks without dictating changes, withdrawing
•
Be approved as an Eagle Scout service project coach, as determined
approval, or taking any other such directive action.
by your council advancement committee.
Describe your experience or training relevant to serving as an Eagle Scout service project coach.
Experience working with Scout–age youth:
Experience managing or organizing projects or assisting others to do so:
Other applicable training and experience (teaching, coaching youth sports, mentoring youth, volunteering in the community, etc.):
I have viewed “The Eagle Scout Service Project Coach” advancement educational presentation.
Date: ____/____/________
I agree to follow the policies and procedures in the Eagle Scout Service Project Workbook and the Guide
to Advancement.
I approve sharing my contact information with Scouts.
I approve sharing my contact information on the district or council website, according to BSA guidelines.
Applicant’s signature _____________________________________________________________
Date: ____/____/________
Recommendation by a representative of the district or council advancement committee:
Date: ____/____/________
(____)_________________
Name _____________________________________
Signature _______________________________________
Phone
Unit___________________
Council/district approval to serve for:
Council at large
District ______________________________________
Name _____________________________________
Signature ____________________________________________________
Date: ____/____/_______
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