EAGLE SCOUT PALM APPLICATION • BOY SCOUTS OF AMERICA

(SUBMIT TO LOCAL COUNCIL—DO NOT SEND TO NATIONAL OFFICE)

Troop, Team, or Crew __________ Local No. _____________ Date ___________

City ____________________________________________ State _____________

The Boy Scout advancement plan of the Boy Scouts of
America is for registered members from joining age until their
18th birthday. Members who have completed all requirements District ____________________________ County __________________________
for advancement before their 18th birthday may be reviewed
and recognized after that date. EXPIRATION DATE OF UNIT ___________________________________________

APPLICATION TO LOCAL COUNCIL ACTION OF TROOP, TEAM, OR CREW COMMITTEE

BOARD OF REVIEW
Name _____________________________________________________ We hereby certify that this applicant appeared before a board of review
Print
on _______________________________________________________
Address ___________________________________________________ Date

City, State, Zip ______________________________________________
I became an Eagle Scout on ___________________________________
I was awarded the Bronze Palm (5 merit badges) on _________________
I was awarded the Gold Palm (10 merit badges) on __________________
I was awarded the Silver Palm (15 merit badges) on _________________
As the required 3 months have elapsed since I passed the board of review for
the Eagle Scout Award or the ____________________ Palm and as I have
now completed the five requirements* listed below, I respectfully make
application for the award of the:
1. He has maintained an active registered relationship to Scouting for
3 months since he qualified for the Eagle Scout Award, or since he
qualified for the ________________________ Palm.
2. He has satisfactorily put into practice the ideals and principles of the
Scout Oath and Law, the motto ‘‘Be Prepared,’’ and the daily Good Turn.
3. He has made a satisfactory effort to develop and demonstrate
leadership ability.
4. He has earned at least five additional merit badges* beyond those
required for Eagle or last Palm.
5. He has participated in a Scoutmaster, Coach, or Advisor conference.

Bronze Palm N Gold Palm N Silver Palm N

__________________________________________________________
For the board of review
RECORD OF MERIT BADGES

*MERIT Unit where registered when awarded merit badge

BADGE No. Town State Date
ACTION OF LOCAL COUNCIL

Date ______________________ Approved _____________________

Signature of Scout executive

LOCAL COUNCIL RECORD

1. Checked _______________________________________________

2. Certificate prepared ______________________________________

UNIT LEADER’S APPROVAL 3. Award made ____________________________________________

This applicant has satisfactorily completed all requirements for the Palm
indicated, and I hereby approve his application.
4. Posted to the District
Advancement Report Summary _____________________________
Signature of unit leader
5. Filed in unit history folder __________________________________
Date _______________________________________________________

*NOTE: These merit badges may have been earned anytime since joining.

A Combination of Palms
You may wear only the proper combination of Palms for the number of merit badges you earn beyond Eagle.
58-709
The Bronze Palm represents 5 merit badges; Gold, 10; and Silver, 15. For example, if you earn 10 merit
badges and two Palms, you would wear only the Gold Palm. If you earn 20 merit badges and four Palms,
you would wear a Silver and a Bronze Palm.

2007 Printing 7 30176 31521 8