Arthur M. & Berdena King Eagle Scout Scholarship
Open to all Eagle Scouts who are currently registered in an active unit and have not reached
their 19th birthday during the year of application.
Note: The application year is the calendar year, 01 Jan. to 31 Dec.
The year that Eagle was awarded is not restricted.
College plans do not need to be completed in order to receive the cash scholarship.
The competition is conducted in three phases, local (Chapter), State (Society), and National.
Three cash scholarship awards are given at the National level:
First Place winner - $8,000.00
Runner-up - $4,000.00
2nd runner-up - $2,000.00
You may apply more than one year if you meet the age requirements but no more than $8,000.00 total may be
granted to any one Eagle Scout.
State winners receive a Trophy and $500; 2nd place receives $200; and 3rd place $100.
Local chapter winners receive a Certificate and $100.
Entrants need to complete only one application -- the one for the chapter competition.
Chapter winners are automatically submitted for the state competition. In turn, state winners are automatically
submitted for the national competition.
The application consists of:
1. The two page application form.
2. The Four Generation ancestor chart.
3. The 500 word Patriotic Theme.
Prizes and recognitions may also be awarded at the SAR Chapter and State levels.
Note: Applications are accepted during a calendar year for Scholarships to be awarded in the Spring of the following year. In this case,
Spring 2013.
Applications are due January 15, 2013 (subject to change).
For the Louisville, Kentucky area, the competition is entered through the Louisville-Thruston Chapter, Kentucky
Society, Sons of the American Revolution.
Contact:
Douglas T. Collins
3703 River Bluff Road
Prospect, Kentucky 40059
502-292-0719
aliedoug@insightbb.com
National Society, Sons of the American Revolution (PDF from NSSAR Website)
BEFORE starting on your Eagle Scout Scholarship Application below, please follow the “Save” instructions.
Use the “Save to Your PC” button below. Add the Eagle Scout’s Name to the front of the Saved file Name. For example,
“George Compatriot Eagle Scout Scholarship Application.PDF”
Once the Eagle Scout Scholarship Application is completed and saved, you have two options.
1. You can EMAIL this completed Eagle Scout Scholarship Application as an Attachment, along with all other documents,
to your local SAR Chapter Eagle Scout Chairman or if no local Chapter, to the State Society Eagle Scout Chairman.
Please request a “Read Receipt” so that you will know that your file was received.
OR
2. This document can be printed and MAILED to your local SAR Chapter Eagle Scout Chairman or if no local Chapter to
the State Society Eagle Scout Chairman.
When you place your mouse over most of the “text” data entry fields below, a feature called a “tooltip” will display as a window/popup to give you
additional instructions concerning what should be entered in that field.
State Chairman:
State Chairman Email:
State Chairman Address:
City: State: Zip:
Chapter Chairman:
Chapter Chairman Email:
Chapter Chairman Address:
City: State: Zip:
Submit applications to Chapter Chairman or State Chairman only.
Eagle Scout Scholarship Application
th
Any Eagle Scout currently registered in an active unit, who will not have reached his 19 birthday during the calendar year of
this application is eligible to apply (Cannot be 19 during 2013).
Application is due: (Date provided by your Eagle Chairman) Date of this application:
Applicant Name: Birth Date:
Applicant Email: Phone:
Applicant Address:
City: State: Zip:
Father’s Name: Occupation:
Mother’s Name: Occupation:
Years in Scouting: Cub Scout: Scout: Varsity Member: Venturing:
Date Passed Eagle Board of Review: NESA M ember: Yes No
BSA Unit No. (Troop, Team, Crew, Ship or Post)
Chartered Organization:
Chartered Organization Address:
City: State: Zip:
BSA Local Council:
Local Council Address:
City: State: Zip:
Sons of the American Revolution Eagle Scout Scholarship Application, P.2
(The number in parentheses following each heading is the maximum number of points granted for that item. You may use additional pages as
required to reply to the following (please put Applicant’s name at top of each page). Please indicate by Roman numeral and title what is
referred to in your addendum.)
I. (10) BSA Leadership Responsibilities. Indicate those held by showing, length of time served.
Leadership Months Leadership Months Leadership Months
Senior Patrol Leader: Librarian: OA Lodge Chief:
Asst. Sr. Patrol-Leader: Quartermaster: OA V ice Lodge Chief:
Patrol Leader: Instructor: OA Lodge Secretary:
Asst. Patrol Leader: Crew/Ship President: Summer Camp Staff:
Jr Asst. Scoutmaster: Crew/Ship Vice-Pres: Other:
Den Chief: Crew/Ship Secretary: Other:
Scribe: Varsity Team Captain: Other:
II. (12) Total Number of Merit Badges Earned: 1 point, not to exceed 3 points, for each 5 additional merit badges over the 21:
The following Merit Badges are given special consideration of 3 points towards the maximum of 12 points.
Show date earned:
American Heritage Genealogy Law
III. (10) Scouting Activities: (such a s: Long-term Camping, Jamboree, Philmont, Venturing, Order of the Arrow, etc.)
IV. Hobbies and Special Interests. (No points given, but intended to show the breadth of your interests and talents.)
V. (1 0) Community Activities, Leadership and Recognitions (Only Community, no Religious, School or Scout items covered in other
headings.)
Sons of the American Revolution Eagle Scout Scholarship Application, P.3
VI. (10) Religious Activities, Leadership and Recognitions.
VII. (10) Scholastic, School and Extracurricular Activities, Leadership and Recognitions.
VIII. (8) Other Awards or Recognitions not covered in previous categories.
IX. (10) Four Generation Ancestor Chart. (Separate form) Note: If adopted, and birth parents unknown, use adopted family lineage.
X. (20) Original Theme, Maximum 500 Words: Show number of words at bottom of page. Please put Applicant’s name at
top of each page. Bibliography required but not included in word count. Show references for quotations used and
historical facts cited. A description of sample topics, which must be related to the REVOLUTIONARY WAR period, is on
the four generation ancestry form.