Eagle Palm Application

User Manual: Eagle-Palm-Application

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EAGLE SCOUT PALM APPLICATION • BOY SCOUTS OF AMERICA
(SUBMIT TO LOCAL COUNCIL—DO NOT SEND TO NATIONAL OFFICE)

Troop, Team, or Crew ___________ Local No. ______________ Date _ ___________
The Boy Scout advancement plan of the Boy Scouts of
America is for registered members from joining age until their
18th birthday. Members who have completed all requirements
for advancement before their 18th birthday may be reviewed
and recognized after that date.

City _____________________________________________ State ______________
District _____________________________ County ___________________________
EXPIRATION DATE OF UNIT ____________________________________________

APPLICATION TO LOCAL COUNCIL
Name ______________________________________________________
Print

Address _ ___________________________________________________
City, State, Zip _ ______________________________________________
I became an Eagle Scout on _ ___________________________________
I was awarded the Bronze Palm (5 merit badges) on __________________
I was awarded the Gold Palm (10 merit badges) on ___________________
I was awarded the Silver Palm (15 merit badges) on __________________
As the required 3 months have elapsed since I passed the board of review for
the Eagle Scout Award or the ____________________ Palm and as I have
now completed the five requirements* listed below, I ­respectfully make
application for the award of the:

Bronze Palm ■

Gold Palm ■

ACTION OF TROOP, TEAM, OR CREW COMMITTEE
BOARD OF REVIEW
We hereby certify that this applicant appeared before a board of review
on ________________________________________________________
Date

1. He has maintained an active registered relationship to Scouting for
3 months since he qualified for the Eagle Scout Award, or since he
­qualified for the ________________________ Palm.
2. He has satisfactorily put into practice the ideals and principles of the
Scout Oath and Law, the motto ‘‘Be Prepared,’’ and the daily Good Turn.
3. He has made a satisfactory effort to develop and demonstrate
­leadership ability.
4. He has earned at least five additional merit badges* beyond those
required for Eagle or last Palm.
5. He has participated in a Scoutmaster, Coach, or Advisor conference.

Silver Palm ■
__________________________________________________________
For the board of review

RECORD OF MERIT BADGES
*MERIT
BADGE

Unit where registered when awarded merit badge
No.
Town
State
Date

ACTION OF LOCAL COUNCIL
Date _ ______________________ Approved _ _____________________
Signature of Scout executive

LOCAL COUNCIL RECORD
1. Checked _ _______________________________________________
2. Certificate prepared _ ______________________________________

UNIT LEADER’S APPROVAL
This applicant has satisfactorily completed all requirements for the Palm
­indicated, and I hereby approve his application.

Signature of unit leader

Date _ _______________________________________________________

3. Award made _ ____________________________________________
4. Posted to the District
Advancement Report Summary ______________________________
5. Filed in unit history folder _ __________________________________

*NOTE: These merit badges may have been earned anytime since joining.

A Combination of Palms
You may wear only the proper combination of Palms for the number of merit badges you earn beyond Eagle.
The Bronze Palm represents 5 merit badges; Gold, 10; and Silver, 15. For example, if you earn 10 merit
badges and two Palms, you would wear only the Gold Palm. If you earn 20 merit badges and four Palms,
you would wear a Silver and a Bronze Palm.
2008 Printing

58-709

7

30176 31521

8
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