Eagle Scout Reference Letter Template
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1Reference Form for Eagle Candidate
Jayhawk Area Council
Boy Scouts of America
1020 SE Monroe
(785) 354-8541
Topeka, Ks. 66612
1-800-294-8993
Fax 785-354-8722
Date________________________
____________________________________________is applying for the rank of Eagle Scout, the highest award in Scouting.
In order to qualify, the candidate has to prove that he has exemplified the Scout Oath and Law in his daily life. He has listed you as
one of his references. We have prepared below a form that will help you to answer the important questions. Space has been provided
on the back of the form for you to write any additional remarks you care to include. Please rate this candidate in each category as you
see him and know him. Five other adults have been asked to rate him.
Do not under any circumstances give this completed form back to the candidate. Your rating of this candidate will be held in the
strictest confidence by the members of the Board of Review and will be used only to determine the candidate’s qualifications to
advance.
To assist us in serving youth, we asked that you return this form within one week to the Council Office at the above address.
Wayne R. Pancoast, Scout Executive
Excellent
Poor
QUALIFICATIONS
10
9
8
7
6
5
4
3
2
1
The Scout Oath:
On My Honor I Will Do My Best…
Do you believe that this Scout does his best at all
times?.
To Do My Duty To God…
Does this Scout attend church and receive regular instruction in his faith?
Is his spiritual life good?
And My Country…
Is he patriotic and a participating citizen in his community?
To Help Other People At All Times…
Do you feel that he has tried to help others and to do a good deed each day
?
To Obey The Scout Law He Is To Be:
Trustworthy………………………………………………………………………………..
Loyal……………………………………………………………………………………….
Helpful……………………………………………………………………………………..
Friendly…………………………………………………………………………………….
……………………………………...
Courteous……………………………………...
…………………………………...
Kind………………………………………………..
…………………………………….
Obedient…………………………………………
………………………………………
Cheerful………………………………………..
……………………………………..
Thrifty……………………………………………
……………………………………
Brave……………………………………………...
…………………………………………..
Clean………………………………………
……………………………………..
Reverent………………………………………..
To Keep Myself Physically Strong………………………………………………………
Mentally Awake……………………………………………………………………………
And Morally Straight……………………………………………………………………...
Is there any reason you feel this Scout is not ready to receive the Eagle Award?
Remarks:
Relationship to Scout:___________________________
Signature:______________________________
Please Print ____________________________
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Parent category: Letters