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NEGA Council Eagle Scout Application Checklist

Candidate’s Name: _________________________________________________ Today’s Date: _____________

___ Correct Form –(can be downloaded from the BSA National website: http://www.bsa.scouting.org)
___ Applicant’s Name Eligible
___ Applicant’s Address (NO Abbreviations)
___ Date of Birth ___/___/___
___ Social Security Number on Form
___ Unit Type and Number (NO Abbreviations)
___ First Class and Star Board of Review Dates Entered
___ Cub, Webelos and Arrow of Light Questions Answered
TH
___ Age Requirement (application not over 90 days past 18 birthday)
___ At least 4 months between First Class and Star boards of Review (120 days minimum)
___ At least 6 months between Star and Life boards of Review (180 days minimum)
___ At least 6 months between Life and Eagle boards of Review (180 days minimum)
___ At least 6 months in a Position of Responsibility between Life and Eagle boards of Review
___ Eagle Scout Service Project Started after Life Board of Review and completed prior to Eagle Board of Review
___ Life Purpose statement Included (requirement #6)
___ Date Joined a Boy Scout Troop ___/___/___ (joining date from the Boy Scout application)
th
___ All Merit Badges and Ranks earned after the above joining date and before the scout’s 18 birthday)
___ Scoutmaster Conference Date (must be after project completion date)
th
___ Applicant’s Signature and Date (must be before 18 birthday and after all other requirements are completed)
th
___ Unit Leaders Signature and Date (must be before 18 birthday and after all other requirements are completed)
th
___ Committee Chairman’s Signature and Date (must be before 18 birthday and after all other requirements are
completed)

Enter Your Star Board of Review Date: ___/___/___ and your Merit Badges for Star (4 must be Eagle required):
1) ____________________________________(required) Date: ____/____/___
2) ____________________________________(required) Date: ____/____/___
3) ____________________________________(required) Date: ____/____/___
4) ____________________________________(required) Date: ____/____/___
5) ____________________________________ Date: ____/____/___
6) ____________________________________ Date: ____/____/___

Enter Your Life Board of Review Date: ____/___/___ and your Merit Badges for Life (3 must be Eagle required):
1) ____________________________________(required) Date: ____/____/___
2) ____________________________________(required) Date: ____/____/___
3) ____________________________________(required) Date: ____/____/___
4) ____________________________________ Date: ____/____/___
5) ____________________________________ Date: ____/____/___

Enter your Merit Badges for Eagle (5 must be Eagle required):


1) ____________________________________(required) Date: ____/____/___
2) ____________________________________(required) Date: ____/____/___
3) ____________________________________(required) Date: ____/____/___
4) ____________________________________(required) Date: ____/____/___
5) ____________________________________(required) Date: ____/____/___
6) ____________________________________ Date: ____/____/___
7) ____________________________________ Date: ____/____/___
8) ____________________________________ Date: ____/____/___
9) ____________________________________ Date: ____/____/___
10) ___________________________________ Date: ____/____/___

Pre-required Merit Badge Checklist:


First Aid M.B. date ___/___/___ Must be prior to Emergency Prep M.B. date ___/____/____
Canoeing M.B. date ___/___/___ Must be prior to Whitewater M.B. date ___/____/____

If any Ranks or Merit Badges were earned out of Council, Please make sure proper documentation is included
with your Eagle Application.

Revision – November 5, 2001

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