NEGA Council Eagle Scout Application Checklist

Candidate’s Name: _________________________________________________
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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)
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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)
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Committee Chairman’s Signature and Date (must be before 18 birthday and after all other requirements are
completed)

Enter Your
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2)
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5)
6)

Star Board of Review Date: ___/___/___ and your Merit Badges for Star (4 must be Eagle required):
____________________________________(required) Date: ____/____/___
____________________________________(required) Date: ____/____/___
____________________________________(required) Date: ____/____/___
____________________________________(required) Date: ____/____/___
____________________________________
Date: ____/____/___
____________________________________
Date: ____/____/___

Enter Your
1)
2)
3)
4)
5)

Life Board of Review Date: ____/___/___ and your Merit Badges for Life (3 must be Eagle required):
____________________________________(required) Date: ____/____/___
____________________________________(required) Date: ____/____/___
____________________________________(required) Date: ____/____/___
____________________________________
Date: ____/____/___
____________________________________
Date: ____/____/___

Enter your Merit Badges for Eagle (5 must be Eagle required):
1) ____________________________________(required)
2) ____________________________________(required)
3) ____________________________________(required)
4) ____________________________________(required)
5) ____________________________________(required)
6) ____________________________________
7) ____________________________________
8) ____________________________________
9) ____________________________________
10) ___________________________________
Pre-required Merit Badge Checklist:
First Aid M.B. date ___/___/___
Canoeing M.B. date ___/___/___

Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:

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Must be prior to Emergency Prep 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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