Eagle Scout Rank Application Form

Download a blank fillable Eagle Scout Rank Application Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Eagle Scout Rank Application Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

EAGLE SCOUT RANK APPLICATION
FOR COUNCIL USE ONLY
COUNCIL NO.
TYPE OF UNIT
TO THE EAGLE SCOUT RANK APPLICANT. This application is to be submitted after you
REGION
UNIT NO.
have completed all requirements for the Eagle Scout rank. Print in ink or type all informa-
C, N, S, W
tion. List the month, day, and year for all dates. When using computer date blocks, list
the date: July 8, 2016, as 07 (for July) 08 (for day) 16 (for year). When you have completed
PID NO. (REQUIRED)
this application, sign it and submit it to your unit leader.
FULL LEGAL NAME (Use abbreviations if necessary; must fit within 30 characters, including spaces and punctuation.)
POSTHUMOUS:
Month
Day
Year
________________________________________________________
Date became a Boy Scout
Street address or P. O. box
Date became a Varsity Scout
________________________________________________________
Date became a Venturer
City, state, zip
Date became a Sea Scout
________________________________________________________
Date of First Class Scout board of review
Telephone (Including area code)
Email
Date of Star Scout board of review
________________________________________________________
Were you a Cub Scout?
Yes
No
Troop, team, crew, ship, or Lone Scout Unit No.
Were you a Webelos Scout?
Yes
No
Did you earn the Arrow of Light Award?
Yes
No
________________________________________________________
Unit city, state, zip
Had you completed fifth grade upon joining?
Yes
No
AGE REQUIREMENT ELIGIBILITY.
Merit badges, badges of rank, and Eagle Palms may only be earned by a registered Boy Scout, Varsity Scout, Venturer, or Sea Scout.
He may earn these awards until his 18th birthday. Any Venturer or Sea Scout who achieved the First Class rank as a Boy Scout in a troop or Varsity Scout in a team may
continue working for the Star, Life, and Eagle Scout ranks and Eagle Palms while registered as a Venturer or Sea Scout up to his 18th birthday.
Scouts, Venturers, and Sea Scouts who have completed all requirements prior to their 18th birthday may be reviewed within three months after that date with no
explanation. Refer to the Guide to Advancement, No. 33088, section 8.0.3.1, for boards of review to be held between three and six months, or more than six months after
the 18th birthday.
A Scout, Venturer, or Sea Scout with a disability may work toward rank advancement after he is 18 years of age if he meets the
Date of birth
criteria for registration beyond the age of eligibility. See the Guide to Advancement, section 10.0.0.0, for details.
Month
Day
Year
Date of Life Scout
REQUIREMENT 1.
Be active in your troop, team, crew, or ship for a period of at least six months after you have
board of review
achieved the rank of Life Scout.
Month
Day
Year
REQUIREMENT 2.
Demonstrate that you live by the principles of the Scout Oath and Scout Law in your daily life. List the names of individuals who know you personally and
would be willing to provide a recommendation on your behalf.
Name
Address
Telephone
Email
______________________ ______________________________ __________ ___________________________
Parents/guardians
______________________ ______________________________ __________ ___________________________
Religious
______________________ ______________________________ __________ ___________________________
Educational
______________________ ______________________________ __________ ___________________________
Employer (if any)
______________________ ______________________________ __________ ___________________________
Two other references
______________________ ______________________________ __________ ___________________________
REQUIREMENT 3.
Earn a total of 21 merit badges (required badges are listed). List the month, day, and year the merit badge was earned and the unit number it was earned in.
DATE
UNIT
DATE
UNIT
DATE
UNIT
MERIT BADGE
EARNED
NO.
MERIT BADGE
EARNED
NO.
MERIT BADGE
EARNED
NO.
*8 ENVIRONMENTAL SCIENCE
1 CAMPING
15
OR SUSTAINABILITY
2 CITIZENSHIP IN
9 FIRST AID
16
THE COMMUNITY
*10 SWIMMING OR HIKING
3 CITIZENSHIP IN
17
THE NATION
OR CYCLING
4 CITIZENSHIP IN
11 PERSONAL
18
THE WORLD
MANAGEMENT
5 COMMUNICATION
12 PERSONAL FITNESS
19
13 FAMILY LIFE
6 COOKING
20
*7 EMERGENCY PREPARED-
14
21
NESS OR LIFESAVING
* Cross out badges not earned. If a crossed-out badge in #7, #8, and #10 was earned, it may be reentered in 14 through 21.
You must attach the Application for Alternative Eagle Scout Rank Merit Badges for those merit badges earned in place of the Eagle required badge(s).

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 3