Online Reference Letter Submission - Pathway to the Rockies Council

1Scout & Personal Information

2Knowledge of Scout

3Personal Recommendation and Additional Comments

In which district does the Scout reside? *

If you are not sure which district in which the Scout resides, please contact them directly or call our office at 719-561-1220.

Your Name *

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This information will not be shared with the Scout, but will be used by the members who will sit on the Eagle Board of Review.

Scout's Name *

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Last

What is your relationship to the Scout? Check all that apply *

Knowledge of Scout

Please rate the following statements about the Scout. It will serve as an important guide to the Board of Review in consideration of the Scout’s application for the Eagle Scout Award.

With your knowledge of this Scout, please rate/react to the following on a scale listed below. If you have NO knowledge on the subject, please rate the individual using "Neutral".

Knowledge of Scout *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Does his/her best in everything	Strongly DisagreeDoes his/her best in everything Strongly Disagree	DisagreeDoes his/her best in everything Disagree	NeutralDoes his/her best in everything Neutral	AgreeDoes his/her best in everything Agree	Strongly AgreeDoes his/her best in everything Strongly Agree
Regularly attend religious observances	Strongly DisagreeRegularly attend religious observances Strongly Disagree	DisagreeRegularly attend religious observances Disagree	NeutralRegularly attend religious observances Neutral	AgreeRegularly attend religious observances Agree	Strongly AgreeRegularly attend religious observances Strongly Agree
General scholastic record in school	Strongly DisagreeGeneral scholastic record in school Strongly Disagree	DisagreeGeneral scholastic record in school Disagree	NeutralGeneral scholastic record in school Neutral	AgreeGeneral scholastic record in school Agree	Strongly AgreeGeneral scholastic record in school Strongly Agree
Regularly attends school	Strongly DisagreeRegularly attends school Strongly Disagree	DisagreeRegularly attends school Disagree	NeutralRegularly attends school Neutral	AgreeRegularly attends school Agree	Strongly AgreeRegularly attends school Strongly Agree
Helps others whenever possible	Strongly DisagreeHelps others whenever possible Strongly Disagree	DisagreeHelps others whenever possible Disagree	NeutralHelps others whenever possible Neutral	AgreeHelps others whenever possible Agree	Strongly AgreeHelps others whenever possible Strongly Agree
Is mentally alert	Strongly DisagreeIs mentally alert Strongly Disagree	DisagreeIs mentally alert Disagree	NeutralIs mentally alert Neutral	AgreeIs mentally alert Agree	Strongly AgreeIs mentally alert Strongly Agree
Honor can be trusted	Strongly DisagreeHonor can be trusted Strongly Disagree	DisagreeHonor can be trusted Disagree	NeutralHonor can be trusted Neutral	AgreeHonor can be trusted Agree	Strongly AgreeHonor can be trusted Strongly Agree
Is a friend to all; respects different ideas and customs	Strongly DisagreeIs a friend to all; respects different ideas and customs Strongly Disagree	DisagreeIs a friend to all; respects different ideas and customs Disagree	NeutralIs a friend to all; respects different ideas and customs Neutral	AgreeIs a friend to all; respects different ideas and customs Agree	Strongly AgreeIs a friend to all; respects different ideas and customs Strongly Agree
Is gentle with others, including animals	Strongly DisagreeIs gentle with others, including animals Strongly Disagree	DisagreeIs gentle with others, including animals Disagree	NeutralIs gentle with others, including animals Neutral	AgreeIs gentle with others, including animals Agree	Strongly AgreeIs gentle with others, including animals Strongly Agree
Cheerfully does tasks that come his/her way	Strongly DisagreeCheerfully does tasks that come his/her way Strongly Disagree	DisagreeCheerfully does tasks that come his/her way Disagree	NeutralCheerfully does tasks that come his/her way Neutral	AgreeCheerfully does tasks that come his/her way Agree	Strongly AgreeCheerfully does tasks that come his/her way Strongly Agree
Participates in activities beyond Scouting	Strongly DisagreeParticipates in activities beyond Scouting Strongly Disagree	DisagreeParticipates in activities beyond Scouting Disagree	NeutralParticipates in activities beyond Scouting Neutral	AgreeParticipates in activities beyond Scouting Agree	Strongly AgreeParticipates in activities beyond Scouting Strongly Agree
Shares duties at home, church, school and community	Strongly DisagreeShares duties at home, church, school and community Strongly Disagree	DisagreeShares duties at home, church, school and community Disagree	NeutralShares duties at home, church, school and community Neutral	AgreeShares duties at home, church, school and community Agree	Strongly AgreeShares duties at home, church, school and community Strongly Agree
Loves and respects his/her country and is loyal to it	Strongly DisagreeLoves and respects his/her country and is loyal to it Strongly Disagree	DisagreeLoves and respects his/her country and is loyal to it Disagree	NeutralLoves and respects his/her country and is loyal to it Neutral	AgreeLoves and respects his/her country and is loyal to it Agree	Strongly AgreeLoves and respects his/her country and is loyal to it Strongly Agree
Respects the religious convictions of others	Strongly DisagreeRespects the religious convictions of others Strongly Disagree	DisagreeRespects the religious convictions of others Disagree	NeutralRespects the religious convictions of others Neutral	AgreeRespects the religious convictions of others Agree	Strongly AgreeRespects the religious convictions of others Strongly Agree
Keeps himself/herself physically strong	Strongly DisagreeKeeps himself/herself physically strong Strongly Disagree	DisagreeKeeps himself/herself physically strong Disagree	NeutralKeeps himself/herself physically strong Neutral	AgreeKeeps himself/herself physically strong Agree	Strongly AgreeKeeps himself/herself physically strong Strongly Agree
Practices clean speech and actions	Strongly DisagreePractices clean speech and actions Strongly Disagree	DisagreePractices clean speech and actions Disagree	NeutralPractices clean speech and actions Neutral	AgreePractices clean speech and actions Agree	Strongly AgreePractices clean speech and actions Strongly Agree
Is loyal to his/her family, leaders, friends and school	Strongly DisagreeIs loyal to his/her family, leaders, friends and school Strongly Disagree	DisagreeIs loyal to his/her family, leaders, friends and school Disagree	NeutralIs loyal to his/her family, leaders, friends and school Neutral	AgreeIs loyal to his/her family, leaders, friends and school Agree	Strongly AgreeIs loyal to his/her family, leaders, friends and school Strongly Agree
Is polite to others regardless of age or position	Strongly DisagreeIs polite to others regardless of age or position Strongly Disagree	DisagreeIs polite to others regardless of age or position Disagree	NeutralIs polite to others regardless of age or position Neutral	AgreeIs polite to others regardless of age or position Agree	Strongly AgreeIs polite to others regardless of age or position Strongly Agree
Obeys rules of his/her home, church, school and community	Strongly DisagreeObeys rules of his/her home, church, school and community Strongly Disagree	DisagreeObeys rules of his/her home, church, school and community Disagree	NeutralObeys rules of his/her home, church, school and community Neutral	AgreeObeys rules of his/her home, church, school and community Agree	Strongly AgreeObeys rules of his/her home, church, school and community Strongly Agree
Leads others	Strongly DisagreeLeads others Strongly Disagree	DisagreeLeads others Disagree	NeutralLeads others Neutral	AgreeLeads others Agree	Strongly AgreeLeads others Strongly Agree
Carefully uses his/her own and other people’s property	Strongly DisagreeCarefully uses his/her own and other people’s property Strongly Disagree	DisagreeCarefully uses his/her own and other people’s property Disagree	NeutralCarefully uses his/her own and other people’s property Neutral	AgreeCarefully uses his/her own and other people’s property Agree	Strongly AgreeCarefully uses his/her own and other people’s property Strongly Agree
Is a positive example of Scouting in his/her groups	Strongly DisagreeIs a positive example of Scouting in his/her groups Strongly Disagree	DisagreeIs a positive example of Scouting in his/her groups Disagree	NeutralIs a positive example of Scouting in his/her groups Neutral	AgreeIs a positive example of Scouting in his/her groups Agree	Strongly AgreeIs a positive example of Scouting in his/her groups Strongly Agree
Is prepared to take care of an emergency situation; can handle it confidently and effectively	Strongly DisagreeIs prepared to take care of an emergency situation; can handle it confidently and effectively Strongly Disagree	DisagreeIs prepared to take care of an emergency situation; can handle it confidently and effectively Disagree	NeutralIs prepared to take care of an emergency situation; can handle it confidently and effectively Neutral	AgreeIs prepared to take care of an emergency situation; can handle it confidently and effectively Agree	Strongly AgreeIs prepared to take care of an emergency situation; can handle it confidently and effectively Strongly Agree
Protects and conserves natural resources; carefully uses time, property and money	Strongly DisagreeProtects and conserves natural resources; carefully uses time, property and money Strongly Disagree	DisagreeProtects and conserves natural resources; carefully uses time, property and money Disagree	NeutralProtects and conserves natural resources; carefully uses time, property and money Neutral	AgreeProtects and conserves natural resources; carefully uses time, property and money Agree	Strongly AgreeProtects and conserves natural resources; carefully uses time, property and money Strongly Agree
Has the courage to stand up for what is right, even under dares or threats from his peer group	Strongly DisagreeHas the courage to stand up for what is right, even under dares or threats from his peer group Strongly Disagree	DisagreeHas the courage to stand up for what is right, even under dares or threats from his peer group Disagree	NeutralHas the courage to stand up for what is right, even under dares or threats from his peer group Neutral	AgreeHas the courage to stand up for what is right, even under dares or threats from his peer group Agree	Strongly AgreeHas the courage to stand up for what is right, even under dares or threats from his peer group Strongly Agree

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