Scout Project Application Form

2. Program*
   -- Select One --Boy ScoutsGirl Scouts
3. Date of Application*
   Date of Application
5. First Name*
6. Last Name*
8. Address1*
10. Address2
12. City*
13. State*
14. Zip*
16. Phone Number*
17. Email Address*
19. Parent/Advisor First Name*
20. Parent/Advisor Last Name
21. Parent/Advisor Phone Number*
23. Troop Leader First Name*
24. Troop Leader Last Name*
25. Trooop Leader Phone Number*
27. Project Title*
29. Scout Award sought*
30. Date of 18th Birthday*
    Date of 18th Birthday
32. Project Description*
34. Project Location*
36. Why was this location chosen?*
38. Anticipated Project Cost*
39. Proposed Start Date/Time*
    Proposed Start Date/Time

    Proposed Start Date/Time
40. Proposed Completion Date/Time*
    Proposed Completion Date/Time

    Proposed Completion Date/Time
42. How do you plan to raise the money for this project?*
44. Does this project pose any safety concerns? If so, what are they?*
46. Will this project require on-going maintenance after completion? If so, describe.*
48. Upload sketch or photos, if possible.
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field