Senator Eric Burlison

Courtesy Resolution Fact Sheet - Eagle Scout Award

First, please give us your name, address, phone and email address.





Zip Code:


Email address:

Now we need information regarding the resolution.

Date Resolution Needed: (mm/dd/yyyy)

Name of Scout:

City of residence:

Names of parents:

Date and place of Eagle Court of Honor:

Troop number:

Total number of years in scouting:

Number of merit badges:

Leadership positions held (such as Patrol Leader, Scoutmaster, Historian, Troop Guide, etc.):

Special awards and/or honors: (such as Order of the Arrow, Tribe of Mic-O-Say, World Conservation Award, Mile Swim, etc.):

Major Scouting activities (such as High Adventure trips, camporees, summer camps, etc.):

Brief description of Eagle project:

Other pertinent information:
Mailing instructions: