Eagle Scout Application
THE AMERICAN LEGION DEPARTMENT OF VERMONTEAGLE SCOUT OF THE YEAR
NOMINATION FORM
Name: ___________________________________________
Address: __________________________________________
City/State/Zip: _____________________________________
Age: ______ DOB: __________ SSN: ________________
Height: _____________ Weight: _____________ 
Phone: (______) ___________________________
ELIGIBILITY REQUIREMENTS:
Applicant must be in High School and not have
reached his 19th birthday.
Applicant must be an Eagle Scout.
Applicant must be a resident of Vermont
Application must be submitted prior to March 1st of
the selection year.
Applicant need not be affiliated with The American Legion.
Applicant must be a registered, active member of a Boy Scout Troop, Varsity Scout Troop or Explorer Post.
Applicant must have reached his 15th birthday and be enrolled in High School at the time of selection.
RELIGIOUS BADGE IS NOT A REQUIREMENT.
POSITION PLACEMENT
(TO BE COMPLETED BY The American Legion Officials)
DEPARTMENT OF VERMONT
________________________________ PLACE OF ________________________________
Submitted: _____________________________________________________
MAIL TO:
THE AMERICAN LEGION OF VERMONT
P O BOX 396
MONTPELIER VT 05601-0396
EAGLE SCOUT - WITHOUT RELIGIOUS EMBLEM!
The Vermont American Legion - Eagle Scout of the Year Application
The Scout who best meets the qualifications outlined in the Nomination Application will be selected as the VERMONT AMERICAN LEGION EAGLE SCOUT OF THE YEAR by the Department of Vermont Boy Scout Committee.
The Vermont American Legion Eagle Scout of the Year will receive a $1,000 Scholarship and participate in the Annual Convention in Vermont with his family.
INSTRUCTIONS FOR COMPLETING APPLICATION
Please print or type all information.
SECTION A: HIGH SCHOOL RECORD
Note: Please attach a copy of your Official High School Transcript.
Grade: __________________ Name of High School: _______________________________
Grade Point Average: __________ In Upper _________% of Class # in Class: __________
On one additional page (8-1/2 x 11¡¨) , list activities participated in during high school and also list awards, honors and recognition received.
NOTE: The screening committee will only consider information provided on the first page of Attachment A, if more than one page is submitted!
SECTION B: SCOUTING RECORD
Note: This section will be reviewed closely by the selection committee.
YEARS UNIT # SPONSOR
CUB SCOUT ________ ________ _____________________
BOY SCOUT ________ ________ _____________________
VARSITY SCOUT ________ ________ _____________________
EXPLORER SCOUT ________ ________ _____________________
EAGLE AWARD RECEIVED: ______________________ PALMS: ____________________
On Two (2) additional pages (8-1/2 x 11¡¨)
1. List leadership positions held in your Cub Scout Pack, Boy Scout Troop, Varsity Scout Team, and/or Explorer Post;
2. List other Scouting Activities you may have participated in (Jamborees, Order of the Arrow Conferences, etc; and
3. Succinctly describe your Eagle Scout Project.
NOTE: The screening committee will only consider information provided on the first two (2) pages of Attachment B if more than two (2) pages are submitted!
The Vermont American Legion - Eagle Scout of the Year Application
SECTION C: COMMUNITY PARTICIPATION RECORD
On one (1) additional page (8-1/2 X 11¡¨), list community organizations in which you have held membership, excluding High School and Scouting. Additionally list other activities that you were involved with that directly or indirectly improved life in your community.
NOTE: The screening committee will only consider information provided on the first page of Attachment C if more than one page is submitted!
SECTION D: CAREER INTERESTS
On one (1) additional page (8-1/2 X 11¡¨), describe your career interests and/or goals. The Selection Committee realizes that in many cases, applicants will not have decided on career goals, however, complete this section to the best of your ability.
NOTE: The screening committee will only consider information provided on the first page of Attachment C if more than one page is submitted!
SECTION E: LETTERS OF RECOMMENDATION AND TESTIMONY
One (1) letter each from your school, your community and scouting must be included. Two (2) additional letters of recommendation and testimony may also be included. Please keep in mind that the letters of recommendation are an important part of this application and will be carefully reviewed by the selection committee.
NOTE: The screening committee will only consider three (3) required letters AND two (2) additional letters of recommendation if more than five (5) letters of recommendation are submitted!
The Vermont American Legion - Eagle Scout of the Year Application
AUTHORIZATION
CERTIFICATION BY EAGLE SCOUT
I certify to the accuracy of the foregoing facts. If selected, I will be tree to travel to the American Legion Annual Convention to participate in the formal presentation of the scholarship and I will do this representing The American Legion and The Boy Scouts of America.
________________________________________________ _____________________
SIGNATURE OF EAGLE SCOUT DATE
PARENT'S CONSENT
We hereby certify that the information on this application pertaining to our son's age and grade in school is correct. We are willing and desirous that he become The Vermont American Legion Eagle Scout of the Year. In consideration of the benefits derived from this honor, if selected, we hereby voluntarily waive any claim against The American Legion and The Boy Scouts of America totally and all representatives thereof.
________________________________________________ _____________________
SIGNATURE OF FATHER/MOTHER OR GUARDIAN DATE
UNIT LEADER
The above named applicant is qualified in every respect to represent The American Legion and The Boy Scouts of America and has our recommendation.
________________________________________________ _____________________
SIGNATURE OF UNIT LEADER DATE
SELECTION COMMITTEE APPROVAL
________________________________________________ _____________________
SIGNATURE OF DEPARTMENT CHAIRMAN DATE
DEPARTMENT SELECTION PROCESS
Nominations must be received by Department Headquarters no later than March 1st.
The application judged best in the Department and a list of the members of the Department Selection Committee should be forwarded to the Commander, American Legion Dept. of Vermont, P O Box 396, Montpelier, VT 05601-0396.
ANNOUNCEMENT OF FINALIST
Selection will be announced during the month of April and the winner will be notified by mail.