The Glenn A. and Melinda W. Adams Award Nomination Form

The Glenn A. and Melinda W. Adams
National Eagle Scout Project of the Year Award

Nomination Form

PDF files with the following items should be submitted with this nomination form:
- Eagle Scout Service Project Workbook
- Daniel Webster Council Eagle Project Summary Form
- Up to 10 project photographs
- OPTIONAL supporting documentation (drawings, news articles, etc.)
Eagle Scout Name*

First NameLast Name
Eagle Scout Board of Review Date*

MonthDayYear
Date
Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Nominator Name*

First NameLast Name
Nominator Relationship to Eagle Scout*
Nominator Cell Phone Number*
Please enter a valid phone number.
Nominator Email Address*
example@example.com
Documentation & Other Supporting Materials
It is strongly recommended that the Scout record a short video that can be part of this nomination form that is between 3-5 minutes, tells the story of their Eagle Scout Service Project, and describes the impact on their community as well as themselves. The video file format must be MP4, WMV, or MOV. It should be uploaded to a cloud-based storage site (such as Google Drive or Dropbox) with permission to download and the link should be provided below. Please use a short URL if possible.
Video URL
Attachments (10.8 MB max size)*

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I hereby consent to the submission of my Eagle Scout service project for consideration of the award.*

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Today's Date*

MonthDayYear
Date
Should be Empty: