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					                                                Valid only from November 15, 2007 to February 29, 2008


                                       NATIONAL JEWISH COMMITTEE ON SCOUTING
                                               BOY SCOUTS OF AMERICA
                                        EAGLE SCOUT SCHOLARSHIP APPLICATION

           Procedures
                                                                                    Applications become the property of the selection committee
           The Eagle Scout applying for a scholarship must complete the              and will not be returned to the applicant. The selection
           application himself.                                                      committee will, in writing, notify those selected of its decision.
                                                                                     In addition, the list of those selected will be posted on the
                Enclose only the items requested in the requirements                NJCOS Web site (www.jewishscouting.org)
                 (no biographies, resumes, or supplemental lists of
                 activities).                                                       Submitting an application is in no way a guarantee that a
                                                                                     scholarship will be granted. There is no appeal, and the
                Answer all questions on the application. Use only the               decision of the selection committee is final.
                 space provided.
                                                                                    All applications must be printed or typed.
                Address completed applications to:
                 National Jewish Committee on Scouting                              The National Jewish Committee on Scouting is not
                 1325 West Walnut Hill Lane - S326                                   responsible for lost or misdirected applications.
                 P. O. Box 152079
                 Irving, TX 75015-2079
                                                                                    Enclose a stamped, self-addressed postcard that will be
                                                                                     initialed, dated, and returned to let you know your application
                Only those applications postmarked after November 15,               has been received.
                 2007, but no later than midnight on February 29, 2008,
                 will be considered.

           Requirements
           An applicant must:                                                      6. Have demonstrated practical citizenship in his synagogue,
               1. Be a registered, active member of a Boy Scout troop,                school, Scouting unit, and community.
                  Varsity Scout team, or Venturing crew.                           7. Provide one signed recommendation letter from a volunteer
               2. Have received the Eagle Scout Award.                                or professional Scout leader (please list Scouting title on the
                                                                                      letter) who knows the applicant personally. This letter should
               3. Be an active member of a synagogue and must have                    attest to the general character of the applicant. This is the
                  received the Ner Tamid or Etz Chaim religious emblem.               only endorsement required. Endorsements from
                                                                                      teachers, counselors, etc., will not be accepted.
               4. Submit his application that is postmarked after November
                  15, 2007, but no later than midnight on February 29,             8. If applying for the Vernon or Arkans Scholarships, attach a
                  2008. Be sure to use sufficient postage.                            complete copy of your Free Application for Federal Student
                                                                                      Aid (FAFSA).
               5. 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. They may receive a scholarship one time only.


Applicant’s Information
Name _______________________________________________________________________________________________
                         First                                       Middle                                       Last
Home Address ________________________________________________________________________________________

City________________________________________________________                                State______                  Zip_____________

Home Phone Number (____)__________________________ Cell Phone (_______)________________________________

Email Address ____________________________________________________High School Graduation Date ____________

Birth Date_______________________________________                         Eagle Scout Board of Review Date______________________

Council Name__________________________________________________________ State______                                  Scout Region: C N S W
                                 (Where Eagle rank was earned)                                                 (Circle appropriate abbreviation)
Name of Parent or Guardian _____________________________________________________________________________

Name and Location of Synagogue ____________________________________________________________

Date of:       Maccabee __________             Aleph __________                Ner Tamid __________               Etz Chaim __________

Scholarships applied for (check all that apply): _____ Arkans (FAFSA Req’d)                _____ Vernon (FAFSA Req’d)             _____ Weil



                                                                         Page 1 of 4
                                           NATIONAL JEWISH COMMITTEE ON SCOUTING
                                            EAGLE SCOUT SCHOLARSHIP APPLICATION
Scouting Record
Positions Held                                National Awards Earned                       __ Other Scouting Positions/Awards
(Check All That Apply)                        (Check All That Apply)                       (Please Specify)_________________________
                                                                                           _______________________________________
__   Patrol Leader                            __      BSA Lifeguard
                                                                                           _______________________________________
__   Assistant Senior Patrol Leader           __      50-Miler Award
                                                                                           _______________________________________
__   Senior Patrol Leader                     __      Heroism Award
__   Junior Assistant Scoutmaster             __      Historic Trails Award                Have You Served In A Staff Position For
__   Varsity Team Captain                     __      Honor Medal                          Any Of The Following? (Check All That Apply)
__   Varsity Squad Leader                     __      Honor Medal With Crossed Palms
                                                                                           __   Council Camp
__   Varsity Co-Captain                       __      Hornaday Award
                                                                                           __   Order Of The Arrow
__   Local Camp Staff                         __      Medal Of Merit
                                                                                           __   Philmont
__   National Camp Staff                      __      OA Vigil Honor
                                                                                           __   Double H Ranch
__   OA Member                                __      OA Founder’s Award
                                                                                           __   Northern Tier
__   OA Lodge Chief                           __      Merit Badges (Total # Earned) ____
                                                                                           __   Florida Sea Base
__   OA Section Chief                         __      Bronze Palm
                                                                                           __   Other High-Adventure Base
__   OA National Officer                      __      Gold Palm
                                                                                           __   National Scout Jamboree
__   OA Chapter Chief                         __      Silver Palm
                                                                                           __   World Scout Jamboree
__   Venturing Crew/Ship Officer
__   Other__________________


School and Extra-Curricular Activities
Name of High School __________________________________________________________________________________
Address_____________________________________________________________________________________________

City________________________________________                         State______           Zip_____________

Principal’s Name ____________________________________________                       Telephone    (______) ___________________

      High School Activities (Check all activities
      you have been involved in during high school)

      Varsity/Junior Varsity Sports                             Clubs & Other Activities                 Clubs & Other Activities (continued)
      __ Baseball                                               __ Band/orchestra                        __ Science
      __ Basketball                                             __ Boys State                            __ Student Council/Government
      __ Crew                                                   __ Choir                                 __ Tutoring/Peer Counseling
      __ Cross Country                                          __ Chess                                 __ Yearbook/Magazine/Newspaper
      __ Football                                               __ Computer                              __ National Beta Club
      __ Golf                                                   __ Debating/Forensics                    __ SADD
      __ Ice Hockey                                             __ Drama/Theater                         __ Other (Please Specify)
      __ Lacrosse                                               __ Foreign Language                      ___________________________
      __ Soccer                                                 __ Future Business Leaders               ___________________________
      __ Swimming/Diving                                        __ History                               ___________________________
      __ Tennis                                                 __ International                         ___________________________
      __ Track                                                  __ Key Club                              ___________________________
      __ Volleyball                                             __ Math                                  ___________________________
      __ Wrestling                                              __ Model UN
      __ Other (Please specify.)                                __ National Honor Society
      ______________________________________
      ______________________________________

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                             Sports                                           Clubs and Other Activities
__ AZA                                                     __ Baseball
                                                                                                            __ Blood drives
__ NFTY                                                    __ Basketball
                                                                                                            __ Civic (Library, Rec Programs, etc.)
__ NCSY                                                    __ Football
                                                                                                            __ Community Theater
__ USY                                                     __ Martial arts
                                                                                                            __ Food Drives
__ Other (Please specify.)                                 __ Soccer
                                                                                                            __ Hospital
_____________________________                              __ Other (Please specify.)
                                                                                                            __ Kiwanis
_____________________________                              ________________________
                                                                                                            __ Music
_____________________________                              ________________________
                                                                                                            __ Red Cross
_____________________________                              ________________________
                                                                                                            __ Rotary
                                                           ________________________
                                                                                                            __ Tutoring
                                                                                                            __ Other (Please specify)
                                                                                                            ______________________________
                                                                                                            ______________________________


                                                                       Page 2 of 4
Service to Community
Other than your Eagle Scout service project, what service have you provided your community? Use only the space provided.




Service to Scouting
Other than your Eagle Scout service project, what service have you provided to Scouting? Use only the space provided.




                                                              Page 3 of 4
                                           NATIONAL JEWISH COMMITTEE ON SCOUTING
                                            EAGLE SCOUT SCHOLARSHIP APPLICATION
General Character
State and show examples of your general character. Use only the space provided.




Scholarships awarded each year 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)
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)
Frank L. Weil Memorial Eagle Scout Scholarship Program – The recipient of the Frank L. Weil Memorial Eagle Scout
Scholarship will receive a $1,000 scholarship. Two second-place scholarship awards will be given in the amount of $500
each.
These scholarships are intended to be used for tuition, room, board, and books only. They are not available to students attending any of the U.S. military
academies, because expenses covered by these scholarships are already paid by the United States government. They are limited to use at a four-year
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.

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. 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.
__________________________________________                                                                 _______________________
Signature of Eagle Scout applicant                                                                                          date

Address completed applications to: National Jewish Committee on Scouting, Boy Scouts of America; 1325 West Walnut Hill Lane - S326; P.O. Box
152079; Irving, TX 75015-2079. Include a self-addressed, stamped post card.




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