Arthur M. and Berdena King Eagle Scout Scholarship Contest

Arthur M. and Berdena King Eagle Scout Scholarship Contest

Page 1 of 4

Arthur M. and Berdena King Eagle Scout Scholarship Contest

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. (The application year is the calendar year, 01 January to 31 December.) The year that the Eagle rank was awarded is not restricted.

College plans do not have to be completed in order to receive the cash scholarship. Three cash scholarship awards are given: As the National First Place Winner - $8,000; Runner-up - $4,000; 2nd Runner-up - $2,000. You may apply in more than one year if you meet the age requirements, but no more than $8,000 total may be granted to any one Eagle Scout at the national level. Additional prizes and recognitions may be awarded at the State level.

The District of Columbia Society (DCSSAR) offers three cash scholarship awards: First Place- $1,000; Runner-up - $500; 2nd Runner-up - $250. You may apply more than one year if you meet the age requirements but no more than $1,000 total may be granted to any one Eagle Scout at the D.C. level.

Entrants need complete only one application - the one for the District of Columbia competition. The application of the D.C.winner is forwarded to be used in the State and National competitions as appropriate.

The application consists of three parts:

1)Eagle Scout ScholarshipApplication Form

2)Four Generation Ancestor Chart

3)500 wordPatriotic Themed Essay

The competition is conducted in two phases, D.C. (“state society”)and National, and must be entered at the State level. You may not enter at the National level.

Scholarship Application Form Instructions:

  • The form must be filled out on a computer. You may save this form to your computer.
  • Sections I and II are completed by filling in the blanks.
  • Sections III through VIII may be completed using as many lines as needed, and additional pages may be used so long as the Applicant’s name appears at the top of each page. Please indicatebyRomannumeralandcategorywhatisreferredtoinyouraddendum.

Contest Application including Application Form, Four Generation Ancestor Chart, and Essay limited to eleven (11) pages total.

Print this document, obtain required signatures, and mail with the Four Generation Ancestor Chart and Essay to Brock D. Bierman, Chairman, Eagle Scout Scholarship Program, District of Columbia Society of the Sons of the American Revolution (Please see below for contact information). For further information contact .

DCSSAREagle Scout Scholarship Program Chairman: Brock D. Bierman

Eagle ScoutChairman Email:

Eagle Scout ChairmanAddress: 35086 Harry Byrd Highway

City: Round HillState:VA Zip:20141

Phone: 401-580-9200

Applicationisdue by November 30, 2014Dateofthisapplication:

SubmitapplicationstoStateChairmanonly

EagleScoutScholarshipApplication

Applicant’sName: Birth Date:

Applicant’s Email: Phone:

Applicant’sAddress:

City: State:Zip:

Father’sName:

Mother’sName:

YearsinScouting:CubScout: Boy Scout: VarsityMember: Venturing:

DatePassedEagleBoardofReview: NESAMember (Yes or No):

BSAUnitNo.: (Fill in -- Troop,Team, Crew, Shipor Post)

CharteredOrganization:

CharteredOrganization Address:

City: State:Zip:

BSALocal Council:

LocalCouncilAddress:

City: State:Zip:

Eagle Scout Applicant’s Signature: ______

Parent’s Signature:______

Unit Leader’s Signature:______

DCSSAR Eagle Scout Chairman’s Signature (If DCSSAR Winner): ______

SonsoftheAmerican RevolutionEagle Scout Scholarship Application

(Thenumberinparenthesesfollowingeachheadingisthemaximumnumberofpointsgrantedforthatitem. You may use additional pages as required to reply to the following (please put Applicant’s name at top of those pages). Please indicatebyRomannumeralandcategorywhatisreferredtoinyouraddendum.)

  1. BSALeadershipResponsibilities(10 pts): Indicatethoseheldbyshowing,lengthoftimeserved.

Leadership PositionMonthsLeadership PositionMonthsLeadership PositionMonths

SeniorPatrolLeader:Librarian: OALodgeChief:

Asst.Sr.Patrol-Leader:Quartermaster: OAViceLodgeChief:

PatrolLeader:Instructor: OALodgeSecretary:

Asst.PatrolLeader:Crew/ShipPresident: SummerCampStaff:

JrAsst.Scoutmaster:Crew/ShipVice-Pres: Other:

DenChief:Crew/ShipSecretary: Other:

Scribe:Varsity TeamCaptain: Other:

  1. Merit Badges Earned(12 pts):

TotalNumberofMeritBadgesEarned:
1point, nottoexceed3points,foreach5additionalmeritbadges over 21: (1, 2, or 3)

The followingMeritBadgesaregivenspecialconsiderationof3points eachtowards themaximumof12points.

Showdateearned:

American HeritageGenealogyLaw

Total Merit Badge Points (0-12):

  1. ScoutingActivities(10pts):(e.g.,Long-termCamping,Jamboree,Philmont,Venturing,OrderoftheArrow,etc.)

(Use as many lines as you need)

  1. HobbiesandSpecialInterests. (Nopointsgiven,butintendedtoshowthebreadthofyourinterestsand talents.)

(Use as many lines as you need)

  1. CommunityActivities,LeadershipandRecognitions(10 pts): (OnlyCommunity,noReligious,School,orScoutitemsas coveredinotherheadings.)

(Use as many lines as you need)

  1. ReligiousActivities,LeadershipandRecognitions(10 pts):

(Use as many lines as you need)

  1. Scholastic,School,andExtracurricularActivities,Leadership andRecognitions(10 pts):

(Use as many lines as you need)

  1. OtherAwardsorRecognitionsnotcoveredinpreviouscategories(8 pts):

(Use as many lines as you need)

  1. Four GenerationAncestorChart(10 pts):(Separateform)Note:Ifadopted, andbirthparentsunknown, useadopted familylineage.
  1. Original Theme,Maximum 500Words(20 pts): Use separate pages. Shownumberofwordsat bottom ofpage. Please note that the words “a” and “the” do not count towards the 500 word Maximum. Please put Applicant’s name at top of each page. Bibliographyrequiredbutnotincluded inwordcount. Show references forquotationsusedand historical factscited. Adescriptionofsampletopics,whichmustberelated tothe REVOLUTIONARYWARperiod,isonthefourgenerationancestryform.
Top View