Skip to Content
Javascript must be enabled for the correct page display
United States Congressman
Blaine
Luetkemeyer
Proudly Serving Missouri's 3rd District
Menu
Search
Search
Search
facebook-page
twitter-page
youtube-page
Home
About
Biography
Awards
Committees
Services
Help with a Federal Agency
Congressional Art Competition
Eagle Scout Recognition
Event Request
Federal Job Postings
Help with Federal Grants
Internships
Meeting Request
Washington, DC Tours
Flag Request
Service Academy Nominations
Presidential Greetings
Issues & Legislation
Key Issues
Voting Record
Newsroom
Columns
Media Kit
Press Releases
Photos
Videos
3rd District
Contact
Send Me an Email
E-Newsletter Sign Up
Office Information
Event Request
Meeting Request
forms
Eagle Scout Recognition Form
As a Member of Congress, Congressman Luetkemeyer is able to officially recognize outstanding public achievements by constituents of the Third Congressional district. If you would like to request an Eagle Scout recognition, please fill out the following form.
Name of Eagle Scout
*
Mailing Address (Where the letter/certificate should be mailed)
*
Street 1
Street 2
City
State
-
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AA
AE
AP
FM
GU
MH
MP
PR
VI
AS
Zip
Parent(s) name
*
Parent(s) phone number
*
(
)
-
Parent(s) email address
*
Date received scouting award
*
-Month-
January
Febuary
March
April
May
June
July
August
September
October
November
December
-Day-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Number of years scouting
*
Boy Scout Troop Number
*
Leadership positions held in troop
*
Number of merit badges and/or skill awards earned
*
Special scouting honors
*
Scouting activities
*
Detailed description of Eagle Project
*
Other pertinent information
Name (Of the person requesting recognition on behalf of Eagle Scout)
*
Email Address (Of the person requesting recognition on behalf of Eagle Scout)
*
By submitting this form, you are also signing up to receive Blaine Luetkemeyer's weekly e-newsletter.
stay connected
SUBSCRIBE