| NESA's Outstanding Eagle Scout Award Nomination Form |
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Adult Eagle Scout- Candidate's Name
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Candidates Email Address
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Candidate's Address
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City
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Zip Code
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Candidate's Home Phone Number
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Candidate's Business Phone Number
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Eagle Scout Rank Earned (Month, Day, Year)
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Location (city, state)
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Troop number where he earned his Eagle Rank.
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Is the nominee currently registered in the Sam Houston Area Council?
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If unit, what is the unit type and number. if District, which one?
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Describe how the nominee has contributed through his career: Trade, Profession, Business, or Government.
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List all the business organizations and/or trade/professional associations in which the nominee has been a member.
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Has the nominee been elected or appointed to public office?
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Describe public office work....
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Describe military service and recognitions
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Describe the nominee's record of voluntary service to the community. List all the civic organizations the nominee has served as a member.
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Describe the nominee's record of leadership service to Scouting. List all the Councils, Districts, Committees & Units in which the nominee has participated
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Statement on nominee's standing and reputation in the community.
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| By submitting this nomination, I understand that the candidate is to be unaware that he has been nominated. |
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Nominator's Name
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Nominator's Email
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Nominator's Phone Number
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