EmailMe Form - 2020 Eagle Scout Virtual Recognition Response Form

Are you planning to attend the Eagle Scout Virtual Recognition Event? *

Yes. I plan on attending.

No. I am unable to attend.

Date became an Eagle Scout *

When was your Eagle Scout Board of Review?

Name *

First Middle Last

Upload a photo of yourself
(preferably in uniform) *

Preferred to have a photo from the shoulders up.

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Date of Birth

MM / DD / YYYY

Email *

Confirm

Evening Phone *

### - ### - ####

Cell Phone

### - ### - ####

Preferred method of communication:

Email

Text

Phone Call

Troop Number

Name of parent
(or guardian)

Name of high school/college

Year

Which college/military service/trade school would you like to attend

Using the drop down field below please select your top three career choices. This will help us match you with a sponsor.

Career choice # 1 *

Career choice # 2

Career choice # 3

Other Choice

Engineering Type

If you selected engineering as a career choice, please indicate the type of engineer you are interested in.

School Activities

Please list the extracurricular activities you participated in.

Speaking Experience *

No

Yes

Indicate if you have public speaking experience. If yes, please describe below.

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