Dr. Phillips Charities Eagle Service Project Application

Dr. Phillips Charities Eagle Service Project Application
Step 1
Complete all of the fields below. Print a copy of the completed form prior to submitting.
District:*
Troop/Crew Number:*
Scout Name:*

First NameLast Name
Scout Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Project Information
Beneficiary: *
Address*

Street Address

Street Address Line 2

CityCounty

Zip Code
County*

OrangeOsceolaSeminole
IMPORTANT: Applications will not be processed without the following!

Attach copy of APPROVED Eagle Scout Service Project Proposal pages C, F, H.

https://www.scouting.org/programs/scouts-bsa/advancement-and-awards/eagle-scout-workbook/
Pages C, F, H*

Upload

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Print a copy of this completed form before you submit. Keep this form with your files.

Remember to take before and after photos of you project for the final report.
Please only select one of the approval/denial drop down boxes. I have your name next to the one you should be selecting. When the form is ready to go live, I can change the titles to "Dr. Phillips Charities Approval/Denial Selection" and "Central Florida Council Approval/Denial Selection".
Approval/Denial
David: Approval/Denial
Should be Empty: