Lowe'S National Eagle Scout Project Impact Grant Application Form Page 2
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1
2Submit this application and agreement, along with the completed pages 6 through 10 from your Eagle
Scout Service Project Workbook, to your local council for grant consideration.
Agreement
I, the Eagle Scout candidate, hereby agree that I have an approved Eagle Scout service project. I will
display the Lowe’s National Eagle Scout Project Impact grant sign given to me by my council. I
understand that I must use my Lowe’s National Eagle Scout Project Impact grant toward my Eagle
Scout project and submit a copy of my completed Eagle Scout Service Project Workbook to the local
council before Dec. 31, 2012. My submission must include three to five before and after pictures (high
resolution electronic or printed color copies) and receipts totaling at least $100.
Eagle Scout candidate’s signature ___________________________________ Date _____________
Council Use Only
All signatures on page 10 of project application
Yes
No
We approve this Eagle Scout candidate for the Lowe’s National Eagle Scout Project Impact grant
Council representative __________________________________________________________
Signature_________________________________________________ Date _______________
Position _____________________________________________________________________
Date grant application submitted to local council ____________
Reason for denial (if applicable) __________________________________________________
Date grant presented to Eagle Scout _______________
Date completed Eagle Scout Service Project Workbook submitted to local council _________
Date application and workbook submitted to National Council _______________
Lowe's Discover Card Number ___________________
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