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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Last

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 *

First

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	Does his/her best in everything Strongly Disagree	Does his/her best in everything Disagree	Does his/her best in everything Neutral	Does his/her best in everything Agree	Does his/her best in everything Strongly Agree
Regularly attend religious observances	Regularly attend religious observances Strongly Disagree	Regularly attend religious observances Disagree	Regularly attend religious observances Neutral	Regularly attend religious observances Agree	Regularly attend religious observances Strongly Agree
General scholastic record in school	General scholastic record in school Strongly Disagree	General scholastic record in school Disagree	General scholastic record in school Neutral	General scholastic record in school Agree	General scholastic record in school Strongly Agree
Regularly attends school	Regularly attends school Strongly Disagree	Regularly attends school Disagree	Regularly attends school Neutral	Regularly attends school Agree	Regularly attends school Strongly Agree
Helps others whenever possible	Helps others whenever possible Strongly Disagree	Helps others whenever possible Disagree	Helps others whenever possible Neutral	Helps others whenever possible Agree	Helps others whenever possible Strongly Agree
Is mentally alert	Is mentally alert Strongly Disagree	Is mentally alert Disagree	Is mentally alert Neutral	Is mentally alert Agree	Is mentally alert Strongly Agree
Honor can be trusted	Honor can be trusted Strongly Disagree	Honor can be trusted Disagree	Honor can be trusted Neutral	Honor can be trusted Agree	Honor can be trusted Strongly Agree
Is a friend to all; respects different ideas and customs	Is a friend to all; respects different ideas and customs Strongly Disagree	Is a friend to all; respects different ideas and customs Disagree	Is a friend to all; respects different ideas and customs Neutral	Is a friend to all; respects different ideas and customs Agree	Is a friend to all; respects different ideas and customs Strongly Agree
Is gentle with others, including animals	Is gentle with others, including animals Strongly Disagree	Is gentle with others, including animals Disagree	Is gentle with others, including animals Neutral	Is gentle with others, including animals Agree	Is gentle with others, including animals Strongly Agree
Cheerfully does tasks that come his/her way	Cheerfully does tasks that come his/her way Strongly Disagree	Cheerfully does tasks that come his/her way Disagree	Cheerfully does tasks that come his/her way Neutral	Cheerfully does tasks that come his/her way Agree	Cheerfully does tasks that come his/her way Strongly Agree
Participates in activities beyond Scouting	Participates in activities beyond Scouting Strongly Disagree	Participates in activities beyond Scouting Disagree	Participates in activities beyond Scouting Neutral	Participates in activities beyond Scouting Agree	Participates in activities beyond Scouting Strongly Agree
Shares duties at home, church, school and community	Shares duties at home, church, school and community Strongly Disagree	Shares duties at home, church, school and community Disagree	Shares duties at home, church, school and community Neutral	Shares duties at home, church, school and community Agree	Shares duties at home, church, school and community Strongly Agree
Loves and respects his/her country and is loyal to it	Loves and respects his/her country and is loyal to it Strongly Disagree	Loves and respects his/her country and is loyal to it Disagree	Loves and respects his/her country and is loyal to it Neutral	Loves and respects his/her country and is loyal to it Agree	Loves and respects his/her country and is loyal to it Strongly Agree
Respects the religious convictions of others	Respects the religious convictions of others Strongly Disagree	Respects the religious convictions of others Disagree	Respects the religious convictions of others Neutral	Respects the religious convictions of others Agree	Respects the religious convictions of others Strongly Agree
Keeps himself/herself physically strong	Keeps himself/herself physically strong Strongly Disagree	Keeps himself/herself physically strong Disagree	Keeps himself/herself physically strong Neutral	Keeps himself/herself physically strong Agree	Keeps himself/herself physically strong Strongly Agree
Practices clean speech and actions	Practices clean speech and actions Strongly Disagree	Practices clean speech and actions Disagree	Practices clean speech and actions Neutral	Practices clean speech and actions Agree	Practices clean speech and actions Strongly Agree
Is loyal to his/her family, leaders, friends and school	Is loyal to his/her family, leaders, friends and school Strongly Disagree	Is loyal to his/her family, leaders, friends and school Disagree	Is loyal to his/her family, leaders, friends and school Neutral	Is loyal to his/her family, leaders, friends and school Agree	Is loyal to his/her family, leaders, friends and school Strongly Agree
Is polite to others regardless of age or position	Is polite to others regardless of age or position Strongly Disagree	Is polite to others regardless of age or position Disagree	Is polite to others regardless of age or position Neutral	Is polite to others regardless of age or position Agree	Is polite to others regardless of age or position Strongly Agree
Obeys rules of his/her home, church, school and community	Obeys rules of his/her home, church, school and community Strongly Disagree	Obeys rules of his/her home, church, school and community Disagree	Obeys rules of his/her home, church, school and community Neutral	Obeys rules of his/her home, church, school and community Agree	Obeys rules of his/her home, church, school and community Strongly Agree
Leads others	Leads others Strongly Disagree	Leads others Disagree	Leads others Neutral	Leads others Agree	Leads others Strongly Agree
Carefully uses his/her own and other people’s property	Carefully uses his/her own and other people’s property Strongly Disagree	Carefully uses his/her own and other people’s property Disagree	Carefully uses his/her own and other people’s property Neutral	Carefully uses his/her own and other people’s property Agree	Carefully uses his/her own and other people’s property Strongly Agree
Is a positive example of Scouting in his/her groups	Is a positive example of Scouting in his/her groups Strongly Disagree	Is a positive example of Scouting in his/her groups Disagree	Is a positive example of Scouting in his/her groups Neutral	Is a positive example of Scouting in his/her groups Agree	Is 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	Is prepared to take care of an emergency situation; can handle it confidently and effectively Strongly Disagree	Is prepared to take care of an emergency situation; can handle it confidently and effectively Disagree	Is prepared to take care of an emergency situation; can handle it confidently and effectively Neutral	Is prepared to take care of an emergency situation; can handle it confidently and effectively Agree	Is 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	Protects and conserves natural resources; carefully uses time, property and money Strongly Disagree	Protects and conserves natural resources; carefully uses time, property and money Disagree	Protects and conserves natural resources; carefully uses time, property and money Neutral	Protects and conserves natural resources; carefully uses time, property and money Agree	Protects 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	Has the courage to stand up for what is right, even under dares or threats from his peer group Strongly Disagree	Has the courage to stand up for what is right, even under dares or threats from his peer group Disagree	Has the courage to stand up for what is right, even under dares or threats from his peer group Neutral	Has the courage to stand up for what is right, even under dares or threats from his peer group Agree	Has the courage to stand up for what is right, even under dares or threats from his peer group Strongly Agree

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