Minsi Trails Council 2016 Eagle Scout Scholarship Award Eagle Scout Application for Award Eagle Scout Name Home Street Address City State Zip Date of Birth Home Phone # E-Mail Address Troop / Crew # District Name of Scoutmaster Scoutmaster Phone # Minsi Trails Council Eagle Scholarship Award Value = $1,000 One-Time-Award Number of Awards for Eagles: At least Two $1,000 Awards Eligibility Requirements for Eagle Scholarship Award To be an eligible applicant for this scholarship program, the applicant must: Submit this award application postmarked No Later Than April 14, 2016 to Minsi Trails Council, P.O. Box 20624, Lehigh Valley, PA 18002-0624 Have been a registered Scout with BSA, Minsi Trails Council in 2015 Have earned the rank of Eagle Scout prior to the end of 2015 You do NOT currently have to be registered as a Scout if in college Complete the entire attached application Provide a single sheet describing your Eagle Project Provide a written essay, on the topic provided [500 to 1000 words] Provide a digital color picture of you in your Scout Uniform via email Signatures on form of the Eagle Scout, Parent or Guardian and Scoutmaster See last page for additional information Scholarship Award Distribution The monetary award will be announced at the Eagle Dinner on May 24, 2016 for use with educational expenses following high school The two Eagle Scout scholarship winners will be invited to read their essays at the May 24 Eagle Dinner
Please complete the following form with true and complete information. To qualify for an award, you do not need to have achievements in each category, but you must attach the essay and description of your Eagle project as required below. SCOUTING RECORD Cub Pack # # Years in Cub Scouting Troop # # Years in Boy Scouting Venture Crew # # Years in Venturing Total # Years in Scouting Date of Eagle Scout Award Total # Merit Badges Earned to date Boy Scouts of America Awards CSA Arrow of Light Fireman Chit Totin Chip Den Chief Award Mile Swim Indiana Jones Award Leave No Trace Award BSA Snorkel Boardsailing BSA BSA Lifeguard Scout Training Award Valley Forge Medal Gettysburg Historic Award 50 Miler Award Historic Trails Award Paul Bunyan Woodsman Award World Conservation Award Interpreter Strip Hornaday Award Recruiter Award National Lifesaving / Meritorious Wildlife Conservation Award Forestry Conservation Award Venture Scouting Awards Bronze Award Gold Award Silver Award Other Scouting Awards Cub Scout Religious Awards Boy Scout Religious Awards Order of the Arrow Ordeal Member Brotherhood Member Vigil Member Total Nights of Scout Camping Miles of Scout Hiking Miles Scout Biking Miles Scout Paddling High Adventure Events (show year) Philmont Scout Ranch BSA Northern Tier BSA Florida Keys West Point Camporee National Jamboree World Jamboree Other High Adventure Events # Special Scouting Events (show number of times each type) Klondike Derbies First Aid Meets Conservation Projects Scouting for Food Service Projects Leadership Training BSA Summer Camps Minsi Jambo Winter Camp Other Special Scouting Events Eagle Leadership Service Project Title [must attach <1 page describing project] Eagle Scout s Hours on Project: hrs Total Hours on Project: hrs Other Scouting Information that may be relevant:
SCHOOL RECORD & ACTIVITIES Attach additional sheets if you need more room Award based on High School record only Name of High School / Prep School Currently Enrolled in Grade General School Phone # Teacher Name Reference and email address: Current Combined GPA Current Class Rank Class Size SAT Score High School GPA Maximum GPA at your high school (confirm with counselor) School Honors & Awards Advanced Courses National Honor Society Yes Special School Programs Special Educational Programs Participation in History Day / Science Fair School Clubs / Hobbies Sports Teams Participation Musical Groups / Hobby Leadership Positions in School Clubs DEMONSTRATION OF LEADERSHIP (excluding Eagle Project) Leadership Positions in Boy Scouting Patrol Leader Treasurer Scribe Bugler Medic Historian Webmaster Chaplain s Aide Quartermaster Den Chief Troop Guide Troop OA Representative Troop webmaster Librarian Assistant Senior Patrol Leader Senior Patrol Leader Junior Assistant Scoutmaster Venture Crew Leadership Positions Other Scouting Leadership Positions School clubs Leadership Positions Religious Organization Leadership Positions Community groups Leadership Positions RELIGIOUS RECORD Name of Religious Institution Religious Clubs, Organizations Other COMMUNITY PARTICIPATION Organizations / Clubs Volunteer Work Other POTENTIAL EDUCATION & CAREER GOALS Possible Educational Discipline in College Possible Colleges or Other Schooling to Attend Possible Career Fields 1-2- If needed, attach additional information for any category.
EAGLE ESSAY [Required] Attach essay to application What does the phrase Once an Eagle, Always an Eagle mean to you? [The essay must address the answer to the above question and must be a minimum of 500 words and a maximum of 1,000 words.] SIGNATURES On my honor as an Eagle Scout, I attest that all information and statements on this form are true and accurate. I promise that I will uphold the promises of an Eagle Scout. I have never been convicted of a crime. Date Eagle Scout Applicant Signature I have read the foregoing application and it has my approval Signature of Parent or Guardian Signature of Scoutmaster
Additional Rules for the Minsi Trails Council Eagle Scout Scholarships 1. Each Eagle Scout may submit only one application during their Scouting Career. It is strongly suggested that Eagle Scouts submit their application during their final year of High School, or the year immediately following the awarding of their Eagle Rank. For example, a 16 year old Eagle Scout is advised to wait until the Spring of his Senior year in High School to submit his application. 2. Only achievements through the end of High School will be considered for the awards. College achievements should not be listed and will not influence how the application is judged. 3. Please inform your teacher reference (near the top of the 3 rd page of the form) that you have listed them as a reference, and provide a valid email address they may be contacted. 4. List your overall High School GPA (or GPA to date) and the maximum GPA obtainable at your school please confirm this latter number with your guidance counselor. 5. A missing signature from the application will disqualify an Eagle Scout from consideration. If the Scoutmaster has changed since earning the Eagle rank, the current Scoutmaster may sign, and should be the person indicated on the first page of the application. 6. Failure to meet the April 14 deadline may disqualify an Eagle Scout from consideration. 7. Failure to include the essay will disqualify the Eagle Scout from consideration. 8. Incomplete applications will be considered at the discretion of the Scholarship Committee.