Senator Eric Burlison


Courtesy Resolution Fact Sheet - Eagle Scout Award

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

Name:


Address:


City:


State:


Zip Code:


Phone:


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:




 

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