Outstanding Eagle Award Nomination Form 2016 ,

The Award The Outstanding Eagle Scout Award is a new National award presented to an adult Scouter who is an Eagle Scout for their distinguished service to youth and their community. The recipient is chosen based on their outstanding service.

Eligibility Any registered adult Scouter (21 or older) who is an Eagle Scout, has a record of quality service to Scouting, his community, and non-Scouting youth, is eligible for nomination. The award can be self-nominated.

Nominations Nominations may be initiated by adults who have either served with the nominee or who are otherwise personally familiar with the nominee’s record. This award will be presented at appropriate recognition events during the year.

Nominee’s Name: _ Address: City: State: _Zip: Phone: (H) (B) E-Mail: Current Registered Position: Unit Number (If Applicable): _District: Years of Volunteer Tenure: Year Eagle Scout Award Earned:

RECORD UPON WHICH THIS NOMINATION IS BASED (Please PRINT neatly)

Noteworthy service of exceptional character to youth

Information covering the nominee's standing in the community, citing activities in which he is MOST ACTIVE in business, professional, civic, religious, educational, fraternal, veterans, and other fields, exclusive of Scouting. Please list organization, position held, recognition received and year(s) involved/awarded.

Organization Position/Recognition Year(s)

Page 1 of 4 Outstanding Eagle Scout Award Nomination Form 2016 Minsi Trails Council, Boy Scouts of America

Record of service to the Boy Scouts of America (Positions held, dates, name chartered organizations in cases where service is unit-connected.)

Please list ONLY REGISTERED ADULT POSITIONS in the Boy Scouts of America with dates and offices held listed chronologically. Indicate Unit numbers and names of districts where appropriate.

Unit Positions: District Positions: Council Positions: CR Chartered Organization Rep District Chair Council Board Chair CC Committee Chair District Committee Member Council Commissioner MC Committee Member Member at Large Council Board of Directors Member CM Cubmaster District Commissioner Assistant President’s Cabinet Member CA Assistant Cubmaster District Commissioner Unit Member at Large DL Den Leader Commissioner Council Committee Chair DA Assistant Den Leader CS Roundtable Commissioner Council Committee Member WL Webelos Den Leader CS Roundtable Staff Honorary Life Member WA Asst Webelos Den Leader BS Roundtable Commissioner DC Den Leader Coach BS Roundtable Staff Unit Types: TC Tiger Cub Coach/Coordinator Merit Badge Counselor Pack SM Scoutmaster Boy Scout Troop SA Assistant Scoutmaster Crew NL Crew Advisor Varsity Team NA Assistant Crew Advisor Ship VC Varsity Coach District VA Assistant Varsity Coach Council SK Skipper MT Mate

Positions Year(s) Total Unit Type, #, Charter Org. District

Total years as a registered adult Scouting volunteer: ______

Page 2 of 4 Outstanding Eagle Scout Award Nomination Form 2016 Minsi Trails Council, Boy Scouts of America

Record of noteworthy service on a DISTRICT and/or COUNCIL level to youth within the territory under the jurisdiction of this council. List here any ACTIVITIES or TRAINING EVENTS where the nominee held a chair or staff position.

District Positions Held Event Date

Council Positions Held

Awards or recognition received as an adult volunteer in Cub Scouting, Boy Scouting, or Venturing.

CUB SCOUTS VENTURING COUNCIL OPERATING COMMITTEES Venturing Leader Training Award Cubmaster Award Award of Excellence – (list below) Crew Advisor Award of Merit Cub Scouter Award Crew Advisor of the Year Committee(s) Year(s) Den Leader Award Webelos Den Leader Award Assoc. Crew Advisor of the Year Adult Leadership Award Den Leader Coach Award

Tiger Cub Coach Award DISTRICT COMMITTEE District Committee Key BOY SCOUTS OTHER Scouter’s Training Award COMMISSIONER SERVICE District Award of Merit Boy Training Award Adult Religious Emblem Scouter’s Key-Unit Commissioner Scoutmaster’s Key (Please indicate which one) Scouter’s Key-ADC Scoutmaster Award of Merit Scouter’s Key-District Varsity Scout Leader Training Award James E. West Fellowship Commissioner Varsity Scout Coach’s Key Ordeal Scouter’s Key-CS RT Order of the Arrow Brotherhood Commissioner Order of the Arrow Vigil Scouter’s Key-BS RT – 2 beads Commissioner Wood Badge – 3 beads Arrowhead Honor Wood Badge – 4 beads Distinguished Commissioner Service Award

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Outstanding Eagle Scout Award Nomination Form 2016 Minsi Trails Council, Boy Scouts of America

Statement of nominee’s standing in Scouting and the community (why this person should be considered)

(Use additional sheets if necessary)

Nominator’s Name:

Address:

City/State/Zip:

Phone: (H) (B)

E-mail:

Nominations Must Be Received By November 30, 2016

Minsi Trails Council, BSA 991 Postal Road Allentown, PA 18109 Attn: NESA Committee