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Four Rivers District Boy Scouts of America |
EAGLE SCOUT
APPLICATION INSTRUCTIONS |
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Before You Start Verify You Have A Valid Application ......Is Application Color: Red, White and Blue ......Is Effective April 1, 1999 --- ( Front, lower left corner ) Make a copy of the application ...... use the copy to --- ........... verify data is available ........... determine if data will fit in spaces allotted Date Reference ----- MM DD YY ----- ...... example: July 8, 1970 would show as.... | 0 | 7 | 0 | 8 | 7 | 0 | All data fields are required unless otherwise noted Print in Ink or Type all information ...... If you plan to print ........... Have someone with good handwriting skills complete the final application ...... If you plan to type ........... You will find it is very difficult to line up on Date boxes Front of Application [ For Council Use Only ] Box ---------------------------- Make no marks in this space List Your Full Legal Name ......1) (Up to 30 Characters only) ......2) If your full legal name is longer than 30 character spaces ...........you will need to modify to 30 spaces ......3) This is used to print the Eagle certificate ......4) DO NOT USE NICKNAMES ......5) Beginning in the 1st space ........... [Enter] First Name ........... --- skip a space --- ........... [Enter] Middle Name ........... --- skip a space --- ........... [Enter] Last Name ........... ( if Suffix - example: Jr, III ) ........... --- skip a space --- ........... [Enter] Suffix Social Security Number ------------------------------------ of Applicant Street or R.F.D. Address ----------------------------------- of Applicant City, State, Zip ---------------------------------------------- of Applicant Phone (including area code) ---------------------------------- of Applicant - beginning with area code Troop, Team, Crew, or Ship Unit Number ------------------- of Applicant ..................................................... example: - Troop 770 City, State, Zip ----------------------------------------------- of Unit Charter Organization Date Joined a Boy Scout Troop ------------------------------- ( see Date Reference ) Date became a Varsity Scout --------------------------------- If not applicable - leave blank Date became a Venturer -------------------------------------- If not applicable - leave blank Date of First Class Scout board of review -------------------- ( see Date Reference ) Date of Star Scout board of review -------------------------- ( see Date Reference ) ...... Age cannot be less than 11 years 9 month on date of Star Scout board of review Were you a Cub Scout ? --------------------------------- If Yes - check Yes ..... If No - check No Were you a Webelos Scout ? ---------------------------- If Yes - check Yes ..... If No - check No Did you earn the Arrow of Light Award ? ---------------- If Yes - check Yes ..... If No - check No Had you completed 5th grade upon joining ? ------------- If Yes - check Yes ..... If No - check No Date of Birth - of Applicant --------------------------------- ( see Date Reference ) ...... If Applicant earned Arrow of Light Award ---------- Joining age can be 10 years 6 months ...... If Applicant did not earn Arrow of Light Award ----- Joining age must be 11 years or older Date of Life Scout board of review ------------------------ ( see Date Reference ) ...... Minimum of 4 months between Star Scout board of review and Life Scout board of review ...... Age cannot be less than 12 years 1 month on date of Life Scout board of review Eagle Application References may include those asked to send in written references ...... Include area code with phone numbers ...... Parents/guardians ........... If address and phone number is the same as the Applicant ------ write it again ...... Religious ........... Minister, Sunday School Teacher, Parishioner, etc ...... Educational ........... Principal, Teacher, Librarian, etc ...... Employer (if any) ---- may be current or former employer ........... If applicable --- Owner, Supervisor, or employer assigned designee ...... Two other references ........... Adult members of the community: neighbors, civic leaders, business persons Merit Badges --- 21 required Date Earned ---------------------------------------------------- ( see Date Reference ) ...... Validate dates from Applicant blue cards or Unit Advancement sheets ...... Unit No. --- Unit Number where applicant was registered when merit badge was earned ...... #6 --- Emergency Preparedness --or-- Lifesaving ........... if earned one ------ Circle the selection ................ Enter Date Earned and Unit Number ................ Cross out the one not being used for #6 ........... If earned both ------ Circle the selection ................ Enter Date Earned and Unit Number ................ Cross out the one not being used for #6 ................ The other may ( but not required ) be used as an elective and listed between 13 and 21 ...... #9 - Cycling --or-- Hiking --or-- Swimming ........... if earned one ------ Circle the selection ................ Enter Date Earned and Unit Number ................ Cross out the two not being used for #9 ........... If earned two of the three ------ Circle the selection ................ Enter Date Earned and Unit Number ................ Cross out the two not being used for #9 ................ The other may ( but not required ) be used as an elective and listed between 13 and 21 ........... If earned all three ------ Circle the selection ................ Enter Date Earned and Unit Number ................ Cross out the two not being used for #9 ................ The others may ( but not required ) be used as electives and listed between 13 and 21 Known Problems ...1st.... ...... Verify that listed merit badges show dates after Date Joined a Boy Scout Troop ...2nd....
...... Verify that listed merit badges show dates after Applicant completed Scout requirements
...3rd.... ..... To advance to the Star rank, a First Class Scout must earn 4 Eagle and 2 other merit badges. ... Therefore, a minimum of six (6) merit badges listed on this application must have been earned ..... prior to, or on the same date as the Star Scout board of review. Four (4) of the six (6) must ..... be listed as Eagle Required. A least two (2) additional merit badges, either Eagle required ..... or electives, must have been earned prior to, or on the same date as the Star Board of Review. ...4th.... ..... To advance to the Life rank, a Start Scout must earn 3 Eagle and any 2 additional merit badges. ... Therefore, a minimum of eleven (11) merit badges listed on this application must have been earned ..... prior to, or on the same date as the Life Scout board of review. Seven (7) of the eleven (11) must ..... be listed as Eagle Required. A least four (4) additional merit badges, either Eagle required ..... or electives, must have been earned prior to, or on the same date as the Life Board of Review. Back of Application Date of Life Scout board of review ------------------------ ( see Date Reference ) ...... Must be same as Date of Life Scout board of review on front of application Leadership Position(s) served ...... List only those positions served after Life board of review ...... Serving 2 positions during the same 3 months period does not satisfy the requirement ...... Do not enter any Leadership position that ended before Life board of review ...... If the Applicant still holds the Leadership position ...... Enter the board of review date in the TO ------------ ( see Date Reference ) ........... If the position began before Life board of review ................ Enter the position start date in the FROM --- ( see Date Reference ) ........... If the position is less than 6 months ................ Enter the second Leadership position served on the second position line ...... Enter the dates served in the FROM and TO ------------ ( see Date Reference ) ...... If 3 or more Leadership positions are required to satisfy this requirement ........... include additional page of explanation including dates Date project was completed -------------------------------- ( see Date Reference ) ...... Enter Scoutmaster date from Approvals for Completed Project page 8 of Project Workbook ........... Must be dated after Life board of review and before Eagle board of review Date conference was held ---------------------------------- ( see Date Reference ) ...... Must be dated after Life board of review and before Eagle board of review Scoutmaster conference with your a unit leader ...... Must be dated after Life board of review and before Eagle board of review Signature of Applicant --- Telephone --- Date ...... Applicant signature attests that all requirements were completed prior to 18th birthday ...... Telephone number ( with area code ) --- in case of a question ...... Date Applicant signed this application ---------------- ( see Date Reference ) ........... Must be dated after Life board of review and before Eagle board of review Signature of Unit Leader --- Telephone --- Date ...... Unit Leader signature attests that all requirements were completed prior to applicants 18th birthday ...... Telephone number ( with area code ) --- in case of a question ...... Date Unit Leader signed this application ------------ ( see Date Reference ) ........... Must be dated after Life board of review and before Eagle board of review Signature of Committee Chairperson --- Telephone --- Date ...... Personal Signature Required ...... Telephone number ( with area code ) --- in case of a question ...... Date Unit Leader signed this application ------------ ( see Date Reference ) ........... Must be dated after Life board of review and before Eagle board of review Now, take or send the application with a photo copy of the 21 blue merit badge cards to: Lea Ressler, Eagle Processor, 800 Wyman Park Drive, Baltimore, MD 21211. This is the Baltimore Area Council Help Desk in the Scout Shop. In about two weeks the computer printed "verified Eagle Scout Rank Advancement" will come back to the Four Rivers District Advancement Chairman with: BSA Local Council Certification --- Signed --- Position --- Date Arrange with a Four Rivers District Advancement Committee member, to hold an Eagle Scout Board of Review. Actions By Eagle Scout Board Of Review (using computer printed form) ...... Review Date ------------------------------------------ ( see Date Reference ) ...... Official Date of Board of Review for Eagle Scout credentials Signature of Board Chairperson ...... Personal Signature Required ...... Must be dated after Life board of review and before Eagle board of review Signature of 4R District Representative ...... Personal Signature Required ...... Must be dated after Life board of review and before Eagle board of review The computer printed form is sent or taken to the same address given above. In about two weeks the unit will get a call or post card saying that the Eagle certificate is available for pickup. At this time the unit may purchase the Eagle Presentation Kit. Scout Executive --- Signature --- Date ...... For National Council Use Only ----------------------- Make no marks in this area EAGLE SCOUT SERVICE VALIDATION ' Box --- ...... For National Council Use Only ----------------------- Make no marks in this area |
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