Eagle Scout Alumni Association Merit Scholarship 2020 Application

EAGLE SCOUT ALUMNI ASSOCIATION MERIT SCHOLARSHIP 2020 APPLICATION Applicant’s Full Name ___________________________________________________________________________________________________ Last, First and Middle Home Address _________________________________________________________________________________________________________ City _______________________________________________________________________ State _______________ ZIP Code ______________ Home Telephone __________________________ High School Graduation Date _____________________ Birth Date ______________________ <ul style="display: flex;"><li style="flex:1">(MM/DD/YYYY) </li><li style="flex:1">(MM/DD/YYYY) </li></ul>Eagle Scout Board of Review Date __________________ District ____________________ Troop Crew Ship Unit No. ______________ (MM/DD/YYYY) Name(s) of parent(s) or guardians(s) ________________________________________________________________________________________ Address (if different from yours) ___________________________________________________________________________________________ City _______________________________________________________________________ State _______________ ZIP Code ______________ Current School ___________________________________________________________________ City __________________________________ Intended educational institution beyond current _______________________________________________________________________________ Requirements: •Be an Eagle Scout registered in Patriots’ Path Council BSA (NOTE: One’s college choice is not subject to this geographic limitation). ••Have demonstrated strong leadership and a spirit of service to others in or outside of Scouting. A one-page statement is required of all applicants. This statement is limited to the space provided and must be in 12-point Times New Roman font. If these stipulations are deviated from, the application will not be considered further, regardless of content. •Be a graduating high school senior or an undergraduate college student not beyond one’s junior year (NOTE: Awardees may receive this scholarship once, only). Procedures: Important Notes: •The Eagle Scout who is registered in Patriots’ Path Council and is applying for this scholarship must complete the application per- sonally. •All applications become the property of the ESAA Scholarship Committee and will not be returned. •By December 15, the ESAA Scholarship Committee will notify those selected of its decision via letter or phone. This list of selectees will be posted on the council website (ppcbsa.org). No written notification will be sent to applicants, except those selected. •Include only what is requested; do not provide materials (e.g., biographies, resumes, or supplemented lists of activities) not requested. ••Answer all questions on this application. Use only the space provided. ••Submitting an application is not a guarantee of a scholarship. ESAA Scholarship Committee decisions are final; there is no appeal process. Applications MUST BE TYPED into this form. Any application that is handwritten, except signatures on page 4, will not be ac- <ul style="display: flex;"><li style="flex:1">cepted. </li><li style="flex:1">Applications must be mailed via U.S. Postal Service; faxes, </li></ul>emails or email attachments will not be accepted. •Mail your completed application by November 1st to: PPC-ESAA Scholarship Committee 1 Saddle Road, Cedar Knolls, NJ 07927. Rev. 01.20.2018 1Scouting Record: <ul style="display: flex;"><li style="flex:1">POSITIONS HELD </li><li style="flex:1">ADVANCEMENTS & AWARDS </li><li style="flex:1">OTHER OPPORTUNITIES </li></ul><ul style="display: flex;"><li style="flex:1">(Check all applicable) </li><li style="flex:1">(Check all applicable) </li><li style="flex:1">(Check all applicable) </li></ul>Total Merit Badges Earned: ______________ Eagle—Silver Palm Eagle—Gold Palm Senior Patrol Leader Assistant Senior Patrol Leader Patrol Leader BSA Summer Camp Staff National Scout Jamboree World Scout Jamboree <ul style="display: flex;"><li style="flex:1">Eagle—Bronze Palm </li><li style="flex:1">Den Chief </li></ul>Troop Guide Instructor Junior Assistant Scoutmaster Troop OA Representative Historian/Librarian/Scribe/Webmaster Chaplain Aide Troop Leave No Trace Trainer Troop Outdoor Ethics Guide Order of the Arrow—Brotherhood Member Order of the Arrow—Elangomat Order of the Arrow—Lodge Chief Order of the Arrow—National Officer Order of the Arrow—Ordeal Member Order of the Arrow—Section Chief Order of the Arrow—Vigil Honor Venturing Crew—President Venturing Crew—Vice President Sea Scout Ship—Boatswain Sea Scout Ship—Boatswain’s Mate Sea Scout Ship—Purser National Camping School NAYLE—Participant NAYLE—Staff NYLT Leadership Academy—Participant NYLT Leadership Academy—Staff Council NYLT—Participant Venturing—Ranger Award Venturing—Silver Award Venturing—Gold Award Venturing—Bronze Award Venturing—Quest Award Venturing—Trust Award Sea Scout—Quartermaster Sea Scout—Able Sea Scout—Ordinary Sea Scout—Apprentice Den Chief Service Award Honor Medal with Crossed Palms Honor Medal Heroism Award Medal of Merit National Certificate of Merit Hornaday Award: ____________________ Religious Emblem: ___________________ Emergency Preparedness Award Council NYLT—Staff Other: ______________________________ _____________________________________ _____________________________________ RELIGIOUS (Enter the number of years involved) ___ ___ Acolyte/Altar Server Choir Church/Hebrew School/Other Aide Youth Group Member Youth Group Officer ___ ___ ___ <ul style="display: flex;"><li style="flex:1">___ </li><li style="flex:1">____________________________ </li><li style="flex:1">Other: </li></ul>Sea Scout Ship—Yeoman Education & Community Record: Enter the number of years you have been involved in the activity. VARSITY TEAM MEMBER SCHOOL CLUBS & GROUPS ___ Baseball RECOGNITIONS & AWARDS ___Chess ___ Basketball ___ Cheerleading ___ Color Guard ___ Cross-Country/Track ___ Dance Team ___ Fencing ___Choir/Chorale ___ National Honor Society ___ Boys/Girls State ___ Other:_________________________ ___ Other: ________________________ ___Computer ___Debating/Forensics ___Drama/Theater ___Foreign Language: __________________ ___Future Business Leaders of America ___Future Farmers of America ___History COMMUNITY ___ 4-H Club ___ Field Hockey ___ Football ___ Blood/Platelet Donor ___ Community Theater Volunteer/Actor ___ Exchange Student Host ___ Golf ___Interact Club/KeyClub ___International ___ Gymnastics ___ Ice Hockey ___ Lacrosse ___ Firefighter Member/Cadet ___ Food Drive Solicitor/Donor ___ Girl Scout Gold Award ___MarchingBand ___Math ___ Shooting ___Model United Nations ___Orchestra/Band ___ Hospital/Medical Center Volunteer ___ Junior Achievement ___ Soccer ___ ___ ___ Softball ___Robotics ___ Red Cross Volunteer Swimming/Diving Tennis ___Science ___ Rescue Squad/EMS Member/Jr. Member ___ Salvation Army Volunteer ___ Town Pageant Winner: _______________ ___ Other: ____________________________ ___ Other: ____________________________ ___Student Council/Government ___Students Against DrunkDriving(SADD) ___Yearbook/Magazine/Newspaper Staff ___Other:____________________________ ___ Other:____________________________ ___ ___ Volleyball Wrestling ____________________________ ___ ___ Other: Team captain/co-captain 2Personal Statement: (Respond to the question below. Use no more than this one page. Use 12 - point Times New Roman font, single - space.) As an Eagle Scout, how do you intend to live by the Scout Oath and Law and be a responsible, contributing citizen throughout the rest of your life? 3Authorization: We hereby authorize the ESAA Scholarship Committee to request and obtain any further information deemed necessary. On my honor as a Scout, all information and statements on this form are true and correct. ______________________________________________________________________________________________________________ <ul style="display: flex;"><li style="flex:1">Signature of Applicant </li><li style="flex:1">Date </li></ul>I have read this application and it has my approval. _____________________________________________________________________________________________________________ Signature of Parent or Guardian Date _____________________________________________________________________________________________________________ Signature of Parent of Guardian Date Mail this completed application to: Eagle Scout Alumni Association-Scholarship Committee Patriots’ Path Council—BSA 1 Saddle Road, Cedar Knolls, New Jersey 07927 <a href="/goto?url=http://www.alumni.ppbsa.org" target="_blank">Visit www.alumni.ppbsa.org </a> For the online version of this form. Call 973.765.9322 ext. 232 with any questions or concerns. 4

Eagle Scout Alumni Association Merit Scholarship 2020 Application

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