BOY SCOUTS OF THE PHILIPPINES
__________________________ Council
APPLICATION FOR EAGLE SCOUT RANK
(To be submitted to the Regional Office)
Date: _____________________
The National Court of Honor
Boy Scouts of the Philippines
Manila
Sir and Madam:
Please consider me as a candidate for the Eagle Scout Rank.
In addition to meeting the necessary requirements for the previous advancement badges (Tenderfoot, Second Class,
Explorer, First Class, Pathfinder, Outdoorsman, and Venturer), I have now qualified for the minimum number of Merit Badges
required for the Eagle Scout Rank.
I state on My Honor that I have as a true Scout lived up to the Scout Oath and Law and promoted the Scout Spirit among
the Scouts. I also have conscientiously did my best to develop my leadership ability while helping other boys to become better
Scouts.
I respectfully submit my registration and advancement records for your consideration, as follows:
__________________________ Age: _____________________
Applicant’s Signature
_________________________
__________________________ Date of Birth
Full Name in Print
Registered as Boy/Senior Scout in Troop/Outfit No. _________, Sponsored by the ___________________________________________________
Position in the Unit: _______________ No. of Years as a Boy/Senior Scout ________________ No. of Years as a KAB Scout ________________
Became an Outdoorsman Badge holder on _______________________ Became an Venturer Badge holder on _______________________
(Date Certificate Issued) (Date Certificate Issued)
Merit Badge Earned: (Corresponding approved application for these Merit Badges are attached)
NAME OF MB
MERIT BADGE GROUP SPECIFIC SUBJECT
COUNSELOR
DATE PASSED
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Reset Form
ACTION OF THE SPECIAL BOARD OF REVIEW
This is to certify that the applicant appeared
before the Board on _____________________________
(Date)
located at _____________________________________
and has satisfied the Board that he is qualified for the
Eagle Scout Rank.
____________________
Chairman
____________________ ____________________
(Member) (Member)
____________________ ____________________
(Member) (Member)
CHARACTER CERTIFICATION Date _________________
As a result of our personal knowledge and observation, we the undersigned, hereby certify that the applicant
has proved himself to be a true and worthy Scout by living up to the ideals of the Scouting Movement.
______________________________________ _______________________________________
Parent’s/Guardian’s Signature Troop Leader/Outfit Advisor’s Signature
______________________________________ ______________________________________
Religious Adviser’s Signature Teacher’s/Employer’s Signature
ACTION OF COUNCIL COMMITTEE ON ADVANCEMENT
We hereby certify that they applicant has furnished the Committee satisfactory and concrete evidence that:
1. He has maintained an active registered relationship to Scouting for more than _________ since he
became a Venturer Badge holder;
2. He has made a satisfactory effort to develop and demonstrate leadership ability; and
3. He has satisfactorily put into practice the ideals and Principles of the Scouting Movement.
The Committee on Advancement, therefore, recommends approval of this application.
______________________________________ ______________________________________
Chairman, Committee on Advancement Commissioner for Advancement and Activities
ACTION OF LOCAL COUNCIL OFFICE
Respectfully endorsed to the Regional Office, BSP, with the recommendation that the Special Board of
Review be held as follows:
Date: ____________________ Time: ____________________ Place: _____________________________________
______________________________________
Name and Signature of Council Scout Executive/OIC
ACTION OF THE REGIONAL OFFICE
Processed: _________________________________
Board constituted: ____________________________
RECOMMENDING APPROVAL
___________________________________________
Regional Scout Director
ACTION OF NATIONAL OFFICE
APPROVED:
__________ _________________________________
(Date) Secretary General
Certificate/Badge Issued: ___________________________
Medal Issued: __________ No. ______________________
Posted/Recorded: _________________________________
IMPORTANT: This form must be accomplished and submitted to the Regional Office, BSP, in quadruplicate. If approved, original
copy is retained at the National Office, BSP, the duplicate copy is sent to the Regional Office, triplicate and quadruplicate copies
sent to the Local Council Office and to the applicant Scout.
