Eagle Application Checklist Item . - Elcaminoreal-bsa
El Camino Real DistrictEagle Application ChecklistDescriptionItemChecklist ItemCompleted1Eagle Scout Rank ApplicationDate joined BSA matches individual history reportMerit badge dates match individual history report.Line out merit badge description not done on #7, 8, and 10.Qualifying leadership position date is after Life Scout award date.Project name includes description and city.Application is signed by Scoutmaster and Committee Chair.2Advancement ReportScoutmaster information is completed for leader box.3GLAAC Application ChecklistFill in Scout informationComplete items 4,6,7.4Covid-19 ExtensionInclude if applicable.5Scouts BSA History ReportRequired6Candidate statementWritten narrative on Scout's journey to Eagle.7Eagle ResumeComplete the form. A written narrative may be used for page 2.8Eagle Project WorkbookInclude original approved project proposal.9Eagle Scout Service Project ReportComplete the report with narratives and hours.Report is signed by candidate, beneficiary and unit leader10AwardsOptional11Letters of ReferenceSealed if Board of Review is in person.Separately sent from Unit leader if Board of Review is held remotely.
COUNCIL MUST COMPLETEEAGLE SCOUT RANK APPLICATIONTO THE EAGLE SCOUT RANK APPLICANT. This application is to be submitted after youhave completed all requirements for the Eagle Scout rank. Print in ink or type all information. List the month, day, and year for all dates. When using computer date blocks, listthe date July 8, 2020, as 07 (for July) 08 (for day) 20 (for year). When you have completedthis application, sign it and submit it to your unit leader.COUNCIL NO.TYPE OF UNITREGIONUNIT NO.C.N. S. W.PID NO. (REQUIRED)POSTHUMOUS:FULL LEGAL NAME (Use abbreviations if necessary; must fit within 30 characters, including spaces and punctuation.)MALEStreet address or P. O. boxCity, state, zipTelephone (Including area code)EmailTroop, crew, ship, or Lone Scout Unit No.Unit city, state, zipFEMALEMonthDayDate joined Scouts BSADate joined a Varsity Scout teamDate joined a Venturing crewDate joined a Sea Scout shipDate of First Class Scout board of reviewDate of Star Scout board of reviewWere you a Cub Scout? Were you a Webelos Scout? Did you earn the Arrow of Light Award? Had you completed fifth grade upon joining? Year Yes Yes Yes Yes No No No NoAGE REQUIREMENT ELIGIBILITY. Merit badges, badges of rank, and Eagle Palms may only be earned by registered Scouts, and qualified Venturers and Sea Scouts. Theymay earn these awards until their 18th birthday. Any Venturer or Sea Scout who achieved the First Class rank in a Scout troop or as a Lone Scout may continue working forthe Star, Life, and Eagle Scout ranks and Eagle Palms while registered as a Venturer or Sea Scout up to their 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 noexplanation. 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 afterthe 18th birthday.A Scout, Venturer, or Sea Scout approved to be registered beyond the age of eligibility may work toward Scouts BSA rankadvancement after their 18th birthday. See the Guide to Advancement, section 10.0.0.0, for details.Date of birthDate of Life Scoutboard of reviewREQUIREMENT 1. Be active in your troop, crew, or ship for at least six months as a Life Scout.MonthDayYearMonthDayYearREQUIREMENT 2. As a Life Scout, demonstrate that you live by the principles of the Scout Oath and Scout Law in your everyday life and tell how you have done your dutyto God. List the names of individuals who know you personally and would be willing to provide a recommendation on your eligiousEducationalEmployer (if any)Two other referencesREQUIREMENT 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.MERIT BADGE1 CAMPING2 CITIZENSHIP INTHE COMMUNITY3 CITIZENSHIP INTHE NATION4 CITIZENSHIP INTHE WORLD5 COMMUNICATION6 COOKING*7 EMERGENCY PREPAREDNESS OR LIFESAVINGDATEEARNEDUNITNO.MERIT BADGE*8 ENVIRONMENTAL SCIENCEOR SUSTAINABILITY9 FIRST AID*10 SWIMMING OR HIKINGOR CYCLING11 PERSONALMANAGEMENT12 PERSONAL FITNESSDATEEARNEDUNITNO.MERIT BADGE151617181913 FAMILY LIFE201421* 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).DATEEARNEDUNITNO.
REQUIREMENT 4. While a Life Scout, serve actively in your unit for a period of sixmonths in one or more of the following positions of responsibility. List only thosepositions served after Life board of review date.Scout troop. Patrol leader, assistant senior patrol leader, senior patrol leader, troopguide, Order of the Arrow troop representative, den chief, scribe, librarian, historian,quartermaster, junior assistant Scoutmaster, chaplain aide, instructor, webmaster,outdoor ethics guideVenturing crew. President, vice president, secretary, historian, den chief, treasurer,guide, quartermaster, chaplain aide, outdoor ethics guideSea Scout ship. Boatswain, boatswain’s mate, purser, yeoman, storekeeper, crewleader, media specialist, specialist, den chief, chaplain aideLone Scout: Leadership responsibility in your school, religious organization, or club,or elsewhere in your communityDate of Life Scoutboard of EMENT 5. While a Life Scout, plan, develop, and give leadership to others in a service project helpful to any religious institution, any school, or your community. (Theproject must benefit an organization other than the Boy Scouts of America.) A project proposal must be approved by the organization benefiting from the effort, your unit leader andunit committee, and the council or district before you start. You must use the Eagle Scout Service Project Workbook, No. 512-927, in meeting this requirement.Project name:Date project finishedGrand total of hours: (from Eagle Scout Service Project Workbook—for statistical purposes only)REQUIREMENT 6. While a Life Scout, participate in a unit leader conference.Date conference was heldMonthDayYearMonthDayYearCERTIFICATION BY APPLICANT. On my honor as a Scout, Venturer, or Sea Scout all statements on this application are true and correct.All requirements, with the exception of my board of review, were completed prior to my 18th birthday.*In preparation for your board of review, prepare and attach to your Eagle Scout Rank Application a statement of your ambitions and life purpose and a listing of positionsheld in your religious institution, school, camp, community, or other organizations, during which you demonstrated leadership skills. Include honors and awards receivedduring this service.Signature of applicant TelephoneDate*Or the date established by an extension of time granted by the National Council (see the Guide to Advancement, section 9.0.4.0.). Thecompletion date does not apply to Scouts registered beyond the age of eligibility as provided for in the Guide to Advancement, section 10.0.0.0.MonthDayYearMonthDayYearMonthDayYearUNIT APPROVAL (personal signatures required)Signature of unit leaderTelephoneDateScoutmaster, Advisor, or SkipperSignature of unit committee chair TelephoneDateBSA LOCAL COUNCIL VERIFICATION. According to the records of this council, the applicant is a registered member of this unit and this application is approvedas accurate.Signed PositionDateMonthDayYearMonthDayYearREQUIREMENT 7. Successfully complete your board of review for the Eagle Scout rank.The applicant appeared before the Eagle Scout board of review on this date, and this application was approved.Signature of Eagle Scout board of review chairDateSignature of council/district board representative (if applicable)I certify that all procedures, as outlined in the Guide to Advancement, have been followed. I approve this application.Scout executiveDateMonthDayYearPresentation of the rank may not be made until the Eagle Scout credentials are received by the BSA local council.NATIONAL EAGLE SCOUT ASSOCIATION. As an Eagle Scout, you may now join the National Eagle Scout Association, a fellowship of the topachievers of the Boy Scouts of America. Join TODAY at www.NESA.org.NESA membership fees go toward the production of the award-winning quarterly Eagle’s Call, networking opportunities for Eagle Scouts, and supportof NESA’s many programs such as providing college scholarships.Lifetime NESA members are eligible to purchase the NESA life member square knot at their local Scout shops. It is the same as the Eagle Scout knot,but with a silver border, and it replaces the Eagle square knot on the uniform.Please use the most current application found at www.scouting.org/media/forms.aspx.512-728January 2020 Printing
ADVANCEMENT REPORTFOR COUNCIL SERVICE CENTER USE ONLY(PACK, TROOP, CREW, SHIP)Report receivedBOY SCOUTS OF AMERICA PackTroopCrewShipLeaderNo.Certificates issuedDistrictMailed or issued toAddressCityStateExpiration date of unitDate awards neededDate mailedZipRecord postedDate this report forwarded to council service center1. Advancement procedures:Packs. After den advancement reports are received from den leaders, this form is completed for the entire pack.Troops. All Scouts who are ready for advancement appear before a board of review composed of at least three members. An advancement report must be sent to the council servicecenter promptly following each board of review if advancement is not reported electronically. This report must be signed by at least three members of the board of review, includingits chairman.Crews and Ships. Venturers and Sea Scouts should give their advancement applications to their Advisor or Skipper who, in turn, takes them to the crew or ship committee forapproval, then prepares, signs, and f orwards this advancement report to the council service center.2. Only MEMBERS with unexpired membership certificates can be credited with advancement. Eagle Scout candidates must be registered throughout the time they are working onadvancement requirements, but need not be registered thereafter or when their board of review is conducted.3. Fill in name and only one advancement award or merit badge on each line, but list all of one member’s advancement consecutively.4. The pack, troop, crew, or ship advancement committee members should interview youth members who are not advancing. List these individuals’ names on the bottom of the form.5. No Scouts BSA advancement may be earned by a Scout, Venturer, or Sea Scout who has reached the age of 18.6. Venturers may earn Venturing advancement and Sea Scouts may earn Sea Scouting advancement through age 20.To: Council Advancement CommitteeI certify that the following record of advancement is correct and that itmeets the standards and requirements of the Boy Scouts of America.SignedNameFor Boards of Review. Two additional signatures are required, plus the datethe board of review was held.TitleDate AwardEarnedBadge of Rank,Merit Badge, or .27.10.28.11.29.12.30.13.31.14.32.15.Board of ReviewDateDate AwardEarnedBadge of Rank,Merit Badge, or AwardYouth interviewed who are not advancing16.17.18.SKU 34403Total different youth Qualified for awards344032019 Printing
Eagle Statement
Eagle Scout Service Project ReportEagle Scout candidate’s full legal nameEagle Scout Service Project NameProject start dateProject completion dateThis report is to be prepared after your service project has been concluded. It is not necessary to provide lengthyanswers. Be prepared to discuss your project and this report at your board of review.
Project Execution:Once planning was completed, when did the work begin?When was it finished?Project DescriptionPlease provide a brief description of your project and the impact it will have.Describe what you did after your proposal was approved to complete the planning of your project.ObservationsWhat went well?What was challenging?ChangesMany successful projects require changes from the original proposal. What significant changes did you make and why did youmake them (be brief)?Project Report Page A
LeadershipIn what ways did you demonstrate leadership?What was most difficult about being the leader?What was most rewarding about being the leader?What did you learn about leadership, or how were your leadership skills further developed?Materials, Supplies, Tools, OtherWere there significant shortages or overages of materials, supplies, tools, and other? If so, what effect did this have?Entering Service Project DataThe BSA collects information on the hours worked on Eagle Scout service projects* because it points to achievement of our citizenshipaim. To assist with the data collection, please refer to your list of people who helped and the number of hoursthey worked. Then please provide the information requested below. Include hours spent doing planning under Total Hours Worked.Be sure to include yourself, and the time spent on planning.Number ofWorkersTotal HoursWorkedThe Eagle Scout Candidate - Planning Hours1The Eagle Scout Candidate - Execution Hours1Registered BSA youth membersOther youth (brothers, sisters, friends, etc., who are not BSA members)Registered BSA adult Scouting volunteers and leadersOther adults (parents, grandparents, etc., who are not BSA members)Grand Total of Hours (enter here and on your Eagle Scout Rank Application)*There is no requirement for a minimum number of hours that must be worked on an Eagle Scout service project.If you have been told you must meet a minimum number of hours then you may lodge a complaint with your district or council. If you have givenleadership to an otherwise worthy project and are turned down by your board of review solely because of a lack of hours, you should appeal thedecision.Project Report Page B
Funding SummaryDescribe how you obtained money, materials, supplies, and other needs (including donations) for your project.How much was collected?How much was spent?If your expenses exceeded funds available, explain why this happened, and how excess expenses were paid.If you had money left over at the end of your project, did you turn it over to the project beneficiary? If "No," when will that be done, orif your beneficiary is not allowed to accept the left over funds, which charity will receive them?How were the donors thanked?Photos and Other DocumentationIf you have them, submit photographs taken before, during and after project completion on a separate document.You may physically attach letters, maps, handouts, printed materials, or similar items that might be helpful to your board ofreview.Caution: Using an Adobe or other PDF reader to insert a "signature" can cause this entire document's contents to be lockedpreventing future edits; make sure you save a copy if any signatures will be inserted digitally.Candidate's PromiseSign below before you seek the other approvals.On my honor, I was the leader of my Eagle Scout service project and executed it as reported hereSignatureDateApprovalsIn my opinion, this Eagle Scout service project meets Eagle Scout requirement 5, as stated on page 3 of this workbook.Unitl leader name:Beneficiary name:SignatureProject Report Page CDateSignatureDate
11 PERSONAL MANAGEMENT 12 PERSONAL FITNESS 13 FAMILY LIFE 14 DATE EARNED UNIT NO. MERIT BADGE DATE EARNED UNIT NO. MERIT BADGE DATE EARNED UNIT NO. Date joined Scouts BSA Date joined a Varsity Scout team Date joined a Venturing crew Date joined a Sea Scout ship Date of First Class Scout board of review Date of Star Scout board of review Were .
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