Eagle Scout Scholarship Application

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Procedures The Eagle Scout applying for a scholarship must complete the application personally. Eagle Scout Scholarship Application Enclose only the following items (no attachments): The attached application One letter from a Scouting reference (See Requirement #8) One letter from your Rabbi or similar religious leader (See Requirement #9) If applying for the Vernon or Arkans Scholarships, a copy of the Free Application for Federal Student Aid (FAFSA) Answer all questions on the application. Use only the space Biographies, resumes, and supplemental lists of activities as well as other endorsements such as from teachers, counselors, etc., will not be accepted. Address completed applications to: National Jewish Committee on Scouting 1325 West Walnut Hill Lane S342 P. O. Box 152079 Irving, TX 75015-2079 Only those applications postmarked after October 1, 2017, but no later than midnight on January 31, 2018, will be considered. Applications become the property of the selection committee and will not be returned to the applicant. The selection committee will, in writing, notify those selected of its decision. In addition, the list of those selected will be posted on the NJCOS Web site (www.jewishscouting.org) Submitting an application is not a guarantee that a scholarship will be granted. There is no appeal, and the decision of the selection committee is final. All applications must be printed or typed or they will be disqualified. The National Jewish Committee on Scouting is not responsible for lost or misdirected applications. Enclose a stamped, self-addressed postcard that will be initialed, dated, and returned to let you know your application has been received. Scholarships awarded are: Chester M. Vernon Memorial Eagle Scout Scholarship Program The recipient of the Chester M. Vernon Memorial Eagle Scout Scholarship will receive a $1,000 scholarship per year for four years. Applicants must demonstrate financial need. (Attach FAFSA) Frank L. Weil Memorial Eagle Scout Scholarship Program The recipient of the Frank L. Weil Memorial Eagle Scout Scholarship will receive either a $3,000 or $2,000 scholarship. Rick Arkans Eagle Scout Scholarship Program The recipient of this scholarship will receive a one-time $1,000 scholarship. Applicants must demonstrate financial need. (Attach FAFSA) These scholarships are limited for use at a college/university that is accredited by recognized accreditation agencies and offers at least a bachelor s degree upon completion of the course of study offered. ` /

Requirements An applicant must: Applicant s Information Name 1. Be a registered, active member of a Boy Scout troop, Varsity Scout team, or Venturing crew. 2. Be an Eagle Scout, having passed the Board of Review on or before 12/31/16. 3. Be an active member of a synagogue and received the Ner Tamid or Etz Chaim religious emblem. 4. Be enrolled in an accredited high school and in his final year at the time of selection. Exception - Scouts whose Eagle Scout boards of review are held the same year of their high school graduation may apply in that calendar year. (Example: Eagle Board of Review on 3/15/17; High School Graduation on 5/29/17. This Scout may apply in the 2017-18 cycle.) 5. Each Scout may apply for a scholarship one time only. 6. Have demonstrated practical citizenship in his synagogue, school, Scouting unit, and community. 7. Follow the procedures outlined above. 8. Provide one signed recommendation letter from a volunteer or professional Scout leader (please list Scouting title on the letter) who knows the applicant personally. This letter should attest to the general character of the applicant. 9. Provide one signed recommendation letter from his Rabbi or similar religious leader. This letter should attest to the applicant s religious involvement. First Middle Last Home Address City, State, Zip Phone Email Dates Council HQ City Name of Parents or Guardians: Name and Location of Synagogue: Date of: Scholarships applied for: Home (_) Cell (_) High School Graduation Birth Date Eagle Scout Board of Review _ State Scout Region C N S W (Where Eagle rank was earned) (Circle appropriate abbreviation) Maccabee Aleph Ner Tamid _ Etz Chaim _ Arkans (FAFSA Req d) Vernon (FAFSA Req d) Weil (check all that apply):

Scouting Record Check All That Apply School and Extra-Curricular Activities Positions Held Patrol Leader Assistant Senior Patrol Leader Senior Patrol Leader Junior Assistant Scoutmaster OA Member OA Chapter Officer OA Lodge Officer OA Section Officer OA National Officer Venturing Crew/Ship Officer National Awards Earned BSA Lifeguard 50-Miler Award Historic Trails Award Hornaday Award - Medal Hornaday Award Badge/Certificate) Lifesaving Medal or Award OA Vigil Honor OA Founder s Award SuperNOVA Medal Merit Badges Total Earned _ Eagle Palms Total Earned Have you served in any of the following staff positions? Council Camp Staff OA event or activity Staff National High- Adventure Base Staff Other High-Adventure Base Staff National Scout Jamboree Staff World Scout Jamboree Staff OA Nat l Leadership Seminar Staff Nat l Youth Leadership Training Staff Nat l Adv Youth Ldrshp Experience Staff Name of High School Address City, State, Zip Principals Name and Phone No. High School Activities Check all activities you have been involved in during high school Varsity/JV Sports Years Baseball Basketball Crew Cross Country Football Golf Ice Hockey Lacrosse Soccer Swimming/Diving Tennis Track Volleyball Wrestling Clubs & Other Activities Band/orchestra Boys State Choir Chess Computer Debating/Forensics Drama/Theater Foreign Language Future Business Leaders Clubs & Other Activities History International Key Club Math Model UN National Honor Society Science Student Council / Government Tutoring / Peer Counseling Yearbook / Magazine / Newspaper SADD Other (Please specify.)

Activities Outside of School and Scouting Check all activities you have been involved in outside of school and Scouting and any leadership positions you have held Jewish Youth Group Involvement AZA NFTY NCSY USY Sports Baseball Basketball Football Martial arts Soccer Clubs and Other Activities Blood drives Civic (Library, Rec Programs, etc.) Food Drives Hospital Music Red Cross Tutoring Other (Please specify.) Service to Community Other than your Eagle Scout leadership service project, what service have you provided your community during your high school years? Use only the space Service to Scouting Other than your Eagle Scout leadership service project, what service have you provided to Scouting during your high school years? Use only the space

General Character Show how Scouting has shaped your character. Use specific examples. Do not use the Scout Law as an example of your character. Use only the space Authorization We authorize the NJCOS Scholarship Selection Committee to request and obtain any further information it deems necessary to determine eligibility and evaluation of this application. If selected, we authorize the use of our son s name, photo and bio as the committee sees fit. We have read this application and it has our approval. Signature of Parent/Guardian Date On my honor as a Scout I declare that all information and statements on this application are true and correct. If selected, I authorize the use of my name, photo and bio as the committee sees fit Signature of Eagle Scout Applicant Date Address completed applications to: National Jewish Committee on Scouting, Boy Scouts of America; 1325 West Walnut Hill Lane S342; P.O. Box 152079; Irving, TX 75015-2079. Include a self-addressed, stamped post card.