Form Section 1

Fruit Heights City

EAGLE SCOUT PROJECT APPLICATION

I. Applicant Information

Full Name

First Name *

Last Name *

Full Address

Street Address *

City *

State *

Zip *

Phone Number *

Home Phone *

Cell Phone *

Email *

Date of 18th Birthday *

Troop Number *

II. Parent or Legal Guardian Information

Full Name

First Name *

Last Name *

Phone Number *

Email *

lll. Scout Leader Information

Full Name *

First Name *

Last Name *

Phone Number *

lV. Project Information

Project Location *

Project Area (Please See Project Map) *

Area 'A" East end of the Gailey Trail between the 1st and 2nd bridge

Area 'B" North side of Gailey Trail between the 2nd bridge and the 4th bridge

Area "C" West section of the Gailey Trail between the pipe culvert west to Main Street

Area "D" Construct 2 small campsites at the upper East end of the Gailey Trail

Area "G" Other projects as approved by Fruit Heights City

Explain Project in Detail *

Proposed Starting Date and Time *

Approved by Scout Leader *

Does the project pose any safety concerns? Who is going to monitor the safety of the project? Who will provide safety equipment, if needed?

Safety Concerns *

V. Funding Information (Cost Analysis)

Estimated Project Cost

Estimated Fundraiser Amount

List materials, tools, and supplies needed to complete the project. Also list where you will get them and how much they will cost.

Materials, sources, and costs

Will there be sufficient leadership and parental guidance? Explain who will be monitoring the project.

Leadership and Parental Guidance *

Vl. Sign

Sign Here *

First Name

Last Name

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.