January 29, 2022

REQUEST FOR CHARACTER REFERENCE

TO:
__________________________________

__________________________________

__________________________________

Eagle Scout Candidate

<SCOUT NAME>
Troop 995, Springfield, Virginia
Boy Scouts
Life Scout <SCOUT NAME> is a candidate for
of the rank of Eagle, the highest rank in Scouting.
America Before the Rank of Eagle Scout is approved,
his Board of Review must evaluate the
National Capital candidate's demonstration of the Scout Oath
Area Council and Law in his everyday life.

In preparation for the Board of Review I ask

Troop 995 that you complete the character reference
Springfield, VA attached with this letter. You may also attach
additional pages if you desire.
Jim Womack
Troop Committee This reference is kept confidential and shared
Chairman only with the members of the Board. Please
be honest in your assessment of the
candidate.
Dan Pilone
Scoutmaster Please use the self-addressed envelope to
mail your recommendation to Mr. Dan Soller,
the Troop’s Eagle Scout Project Coach at your
earliest convenience.

Thank you very much for your time and

support.

Yours truly,

Dan Pilone
Scoutmaster
 The SCOUT OATH The SCOUT LAW

A Scout is:
On my honor, I will do my best
To do my duty to God and my Country; Trustworthy
and to obey the Scout Law; Loyal
To help other people at all times; Helpful
keep myself physically strong, Friendly
mentally awake, and morally straight. Courteous
Kind
Obedient
Cheerful
Thrifty
Brave
Clean
and Reverent
 PERSONAL AND CONFIDENTIAL

CHARACTER REFERENCE

Date: ________________ Re: Life Scout <SCOUT NAME>

Please state how you know this Eagle candidate:

( ) Teacher ( ) Family Friend ( ) Employer ( ) Scout Leader
( ) Other (Please explain): _________________________________________________________________

STATEMENT: ________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
_________________________________________________ (Signature): ____________________________
Phone Number: ____________________________
In addition to your written statement, please evaluate the Eagle candidate using the items below.

Does this Scout: (Circle the appropriate response.)