Laserfiche WebLink
Contact Information <br />EagleSmutmndidares should Arrow who is Invo , outcontacr mmrmn <br />talk to wreanodier. WNleftiswcognaedthatrmtad the infommdon will <br />reasonnb/ypossible. Appmvalmpresmwaves mustundemand, however, <br />Eagle Scout Candidate <br />Name: tADrU, ui. Fo-SSC' } ��� _-_ _ .Birthdate: ... <br />Emailaddress _Pcork�+[aSs ,Irl ® t`�dy� GOvy__ BSA PID number'. <br />Address V\Ai3 e-- 9k1 ak1 City LQLV�} State: �Zi�aQzOg7 <br />Preferred telephone(s): � P+.'. :o- i3 Qa-j - Life board of revie slate: - <br />&SAND No, found m the BSA membership rnrd <br />Current Unit Infor _ aticra <br />Check one: X Troop ❑ Team ❑ Crew ❑ Ship Unit Number: (1� <br />Name of District- &�Or -_- - NameofCouncil: fa� NG-� <br />Unk Lea�d'e}r Chec_konw. KScoutmaster F] Varsity Coach ❑Crew Adviso <br />r <br />E] Skipper - <br />Name: c,c P>,5sa� p� Preferred telephone(s_): �104-aG(�I7.—j3_ <br />Address: w-5. 6t `� �_ .- � , G r State_:_ NiJ ZiP= <br />Email address: rv0 _ - - <br />UnitCoarm'it-tea Chair <br />Name: Yy \ rblf`vy Preferred telephone(s): -0 1\ <br />Address: \5-�q i1�7�7^^�a1\5_ Vcity. CorNCOFi - State: NL ZiP.. ZQi0a5 <br />Email address: t`ro�Mu�So+'Ct\4 �9%_l��,�b.�\0t �M- <br />Unit Advancement Coordinator pfyourunirhas one) ,.,1' <br />Name:- <br />ame VJ l\\lore -_ f`L\L, Preferred telephone(s):-��t0k <br />Address g�LlO r 1 Qf. city cDrror� _ stace:hlC, i.Zp: <br />Emailaddress:- <br />projectBeneficiary (Name ofreliyrousinstimtion school, ofm_mmunay) _ <br />Name:�<,f \ th Nhcj—Sj'�l-L'�-'iC�f`Prefen_ed telephone(s): 704ZJ <br />Addrem LL,� 4 l'City: �CX`GOr� _ - State_N%Zi <br />_ ZVV ✓5 <br />Email address: _ - --- -- ---- - <br />- <br />ProjectBeneficiaryBepresentative (Nameofcantaapersonfortheproje beneficaaiary)_- <br />Name:_\,J• -To4'(Or Preferred telephone(s):-_9bD_�S_Z <br />Address: d(,(I-QFy1 r.. _—I .. Cm'/`unlcfBl r 1 StateL/V•_L Zip: <br />Emailaddress: PWTAY",biLsj.4rr -r--- <br />Your Council Service Center <br />�� - _ �S -- - - - <br />_me:_ E�\'l7e�hl,'\�a_�-,\ Preferred telephone(s): <br />Contactna <br />Address:- PC) t� Y, 1J� - city, Nbe-VPf\C-. _ State: N(, Zip: _. <br />Council or District Project Approval Representative <br />(your unit leader, unitadvarcement_coordinaror, or council ordistrktadvancementchair may help you team who this w_ ili bed <br />Name: _ Preferre_ citelephone(s): <br />Address: _ _ City: State: Zip: <br />Email address: <br />Project Coach (yourcouncil ordistrktprojecrapproval representative may help you learnwhothis will be.) <br />Name: k jAGu-W 47 i45� nnJ�lr- Preferred telephone(s: !D-[ Oj13 C%)08 <br />Address:JLA{'oj 4r1`�= Pa`^r /'-res - City: "C"-y)State: %LL Zip: J(09-1 <br />Email address: ryt[t/-(L__ -(LtYCtl'f .-P@ WvcL I C -Orn <br />Proposal Page B <br />Attachment number 2 \n <br />F-11 Page 113 <br />