Outstanding Eagle Scout Nomination

This form is used to nominate individuals for a national award to recognize outstanding professional Eagle Scouts.

Outstanding Eagle Scout Nomination Form
Do you know an Eagle Scout who who has made his mark on the world? Someone who has become noteworthy in his profession and continued to give back to his community, too? That's what makes an Outstanding Eagle Scout and we're looking for every one of them we can find. Please nominate him here:
Nominee Information
* First Name
Middle Initial
* Last Name
Date of Birth:
Mailing Address
* City
* State
ZIP Code
Mobile or Work Phone
Home Phone
E-mail Address
Eagle Scout Date
When did he earn his Eagle Scout Award?
Eagle City & Troop #
Where did he earn his Eagle?
State & National-Level Awards
Please list any state or national level awards he has received.
Please Tell Us About His Profession
* Profession
In which line of work has he distinguished himself? (examples: medicine, education, business, military, government, law, national-level award winner)
* Career Highlights
How has he received extraordinary state or national-level recognition, fame, or eminence within the profession identified above?
* Career Distinctions And Honors
Please list all awards, honors, books or articles written, or other information related to the nominee’s accomplishments within his chosen career.
Please Tell Us About His Volunteer Service
* Community Service Highlights
Please detail this Eagle Scout's history of voluntary community service. Service to Scouting is not required, but should be included when present. List all volunteer organizations, offices held, specific achievements, and related dates. The more you can share the better.
Civic And Volunteer Honors
Please list all awards, honors, books or articles written, or other information related to the nominee’s accomplishments within his community service work.
How Can We Get More Information About This Eagle Scout?
Additional Points of Contact
Who may we contact to anonymously obtain additional details and supporting information, if needed? Please include phone numbers and email addresses.
Nominator information
Please tell us who you are - the person making the nomination.
* Full Name
Phone Number
E-Mail Address



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