Checklist of Interests Eagle Promise

Indicate areas in which you would like to be involved.

I reaffirm my allegiance
Youth:
Training instructor To the three promises of the Scout Oath.
Summer camp staff
I thoughtfully recognize
Camporee/field staff
Eagle Scout courts of honor And take upon myself
Scouting for Scouts with disabilities
The obligations and responsibilities
Public speaker
Alpha Phi Omega Of an Eagle Scout.
Other
On my honor I will do my best
Adult:
Unit leadership To make my training and example,
Commissioner
My rank and my influence
Merit badge counselor
Eagle Scout board of review Count strongly for better Scouting
Eagle Scout courts of honor
And for better citizenship

Join
Fund-raising
Eagle Scout dinner sponsor In my troop,

NESA
District activities staff
In my community,
Scouting for Scouts with disabilities
Alpha Phi Omega And in my contacts with other people.
Other
To this I pledge my sacred honor.
If you are presently registered in Scouting, please
The National Eagle Scout Association
complete the following section:

Cub Scout pack No. _________ Membership is restricted to those who have
Boy Scout troop No. _________ been granted the Eagle Scout Award by the
Varsity Scout team No._________
Boy Scouts of America Boy Scouts of America.
Venturing crew No. _________ 1325 West Walnut Hill Lane
P.O. Box 152079
Position ___________________________________________ Irving, Texas 75015-2079
http://www.scouting.org
District ____________________________________________
Council ____________________________________________
58-404
2005 Boy Scouts of America

What Is NESA?
The National Eagle Scout Association (NESA) is
a fellowship of men who have achieved the Eagle
Scout rank. Only 5 percent of Scouts ever reach
this goal. Former CIA director Robert M. Gates and
retired astronaut James A. Lovell Jr. are two of NESA’s
250,000 members.
Only those who have been granted the Eagle Scout
Award by, and who are members in good standing with,
the Boy Scouts of America may hold membership in the
National Eagle Scout Association. Applications for NESA
membership are cross-checked against the national Eagle
Scout register maintained by the Eagle Scout Service.
Gift Memberships
Membership in NESA makes a great gift for a new Eagle
Scout or perhaps an Eagle Scout friend from the past
whom you wish to “reclaim.” The Scouting program
keeps in contact with Eagle Scouts through their mem-
bership in NESA, so the importance of enrolling all new
and past Eagle Scouts cannot be overemphasized. Don’t
miss the opportunity to enroll a friend or relative with a
meaningful and appreciated recognition of their extraor-
dinary achievement. Copy the attached application and
“capture” a fellow Eagle.
one.)
E-mail address ________________________________
__________________________________________________________ __________________________________________________
__________________________________________________________ __________________________________________________
CE    NE    SO    WE   (Please check
_________________________________________
Approval code:_ _____________________
Date_________   Per__________________
62006-4240 $_ _____________________
67001-4240 $_ _____________________
NESA Benefits and Opportunities
As a NESA member, you will:
• Be a part of something larger than yourself (NESA has
FOR OFFICE USE ONLY
250,000 members).
• Receive the Eagletter—a magazine that keeps NESA
TELEPHONE NUMBER
members informed of what Eagles are doing around the
country and developments in the Scouting movement.
• Have several opportunities for service with your troop,
Council No.   
district, council, and NESA committees at Scouting
Region
functions such as:
Attach check payable to National Eagle Scout Association.
— Gathering of Eagles (at local, regional, and
1325 West Walnut Hill Lane, P.O. Box 152079
national levels)
— Eagle Banquets and other award and
EAGLE AWARD DATE
Mail to: NESA, S220, Boy Scouts of America
recognition events
ZIP CODE
— Merit Badge Colleges/Weekends
Occupation_
• Receive an invitation to a special gathering at the
Irving, TX 75015-2079
national Scout jamboree
• Be able to support the NESA scholarship program
__________________________________________________________
(adults only).
STATE
• Network with Eagle Scouts on the local, regional,
PRINT NAME AS IT APPEARS ON YOUR EAGLE SCOUT CREDENTIALS.
and national levels.
DATE OF BIRTH
What Is the Investment?
❏  Please charge my VISA/MasterCard for the membership/services indicated above.
Life Membership
The NESA life membership is available for a one-time
STREET ADDRESS
payment of $180. Members will receive an attractive,
❏  Enclosed is an additional $40 for special handling/overnight delivery.
❏  Check here if this is a new address and provide previous address.   
Cardholder’s signature_ ______________________________________
full-color plastic wallet card and wall certificate.
NESA MEMBERSHIP APPLICATION
(Because you are an Eagle Scout for life, NESA life
membership is highly encouraged.)
❏  Enclosed is $25 for my five-year NESA membership.
❏  Enclosed is $180 for a lifetime NESA membership.
Regular Membership
CITY
A five-year new or renewal NESA membership is available
for $25. A basic plastic wallet card and wall certificate are
VISA/MasterCard account number
provided with this membership level.
❏  Check here if this is a renewal.
Payment Methods
The National Eagle Scout Association accepts Visa,
Card expiration date
Mas­ter­Card, and checks for membership payment.
Do not send cash.
Special Handling/Overnight Delivery
Special handling is available for $25. Overnight delivery
also is available for $15. Weekend deliveries will be
charged according to current rates incurred by NESA.
Special handling and overnight delivery services must
be purchased together. Note: The $40 charge is in addi-
tion to the membership fee.