Eagle Scout Reference Check Acknowledgement Form printable pdf download

Eagle Scout Reference Check Acknowledgement Form

TWIN RIVERS COUNCIL, INC.

253 Washington Avenue Ext.

Albany, New York 12205-5553

(518) 869-6436

1-800-734-2721

FAX: (518) 869-6439

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Eagle Scout Reference Check Acknowledgement Form

(This form must accompany the Eagle Scout Rank Application submitted to the Twin Rivers Council for review)

Troop/Crew ____ of the ____________________ District hereby acknowledges that all references

listed on the Eagle Scout Rank Application for Eagle Candidate, ___________________________

have been personally contacted (verbally or in writing) by a member of the Troop Committee. Each

reference has indicated no reservation concern in recommending this Eagle Candidate for the

Eagle Scout Rank. Details of any reservation or concern noted are listed below.

Date _________ Troop Committee Chairman (Print Name): ____________________________

Contact Phone Number ___________ (Signature): ____________________________________

Note: References may be checked/contacted prior to completion of other Eagle Scout Rank

requirements such as the Eagle Scout Leadership Service Project.

Comments: ______________________________________________________________

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Eagle Scout Reference Check Acknowledgement Form