The following Eagle Scout candidate has an approved Eagle Scout service project and is seeking consideration to receive

the Lowes National Eagle Scout Project Impact grant. Name: Address: City: Phone No.: Email: Council: District: State: Zip code: Troop/Crew No.:

Approved Project Information

Start date: No. of people participating: Location of project: Description of project:

Impact of project:

For any questions, please email lowes.grant@scouting.org or call 972-580-2185.

Submit this application and agreement, along with the completed pages 6 through 10 from your Eagle Scout Service Project Workbook, to your local council for grant consideration.

Agreement
I, the Eagle Scout candidate, hereby agree that I have an approved Eagle Scout service project. I will display the Lowes National Eagle Scout Project Impact grant sign given to me by my council. I understand that I must use my Lowes National Eagle Scout Project Impact grant toward my Eagle Scout project and submit a copy of my completed Eagle Scout Service Project Workbook to the local council before Dec. 31, 2012. My submission must include three to five before and after pictures (high resolution electronic or printed color copies) and receipts totaling at least $100. Eagle Scout candidates signature ___________________________________ Date _____________

Council Use Only

All signatures on page 10 of project application Yes No We approve this Eagle Scout candidate for the Lowes National Eagle Scout Project Impact grant Council representative __________________________________________________________ Signature_________________________________________________ Date _______________ Position _____________________________________________________________________ Date grant application submitted to local council ____________ Reason for denial (if applicable) __________________________________________________ Date grant presented to Eagle Scout _______________ Date completed Eagle Scout Service Project Workbook submitted to local council _________ Date application and workbook submitted to National Council _______________
Upon completion of the project, the local council should mail or email a copy of the application, the pictures, receipts, and of the completed Eagle Scout Service Project Workbook by Jan. 31, 2013, to: Boy Scouts of America Attn: Youth Development Team, SUM 209 Email: lowes.grant@scouting.org C/O: Jessica Ayala-Janscha P.O. Box 152079 Irving, TX 75015-2079

For any questions, please email lowes.grant@scouting.org or call 972-580-2185.