Application for
Anniversary Environmental Protection Agency Award
Program Term – January 1 to December 31, 2021
The Environmental Protection Agency, as part of a public awareness campaign to celebrate its first 50
years, has partnered with the Boy Scouts of America to create an award for members of troops, crews
and ships. This new award will recognize youth who research and learn about the subjects of human
health and the environment, as the EPA develops its vision for the next 50 years.
The objective of the EPA award is to combine a variety of disciplines to challenge and educate youth;
introduce them to the breadth of the EPA’s involvement in environmental protection and conservation;
and encourage them to research, investigate, experiment, demonstrate, survey, and study air pollution,
water pollution, solid and hazardous waste, and ocean dumping.
Name of youth: __________________________________________________ Unit No: ___________
Council name: __________________________________________________ Council No. ________
Youth’s email: ___________________________________________________
Youth’s address: _________________________________________________
City: ______________________________________________ State: ___________ ZIP: ________________
BIN 512-098
2021 Printing
Name of youth: _____________________________________
Date Completed/Leader Initials
Complete or already have completed* one merit badge from each category:
1) Animal Study (circle badge completed)
a) Animal Science
b) Bird Study
c) Insect Study
d) Mammal Study
e) Reptile and Amphibian Study
2) Outdoor Activity (circle badge completed)
a) Backpacking
b) Camping
c) Canoeing
d) Climbing
e) Fishing
f) Fly-Fishing
g) Gardening
h) Hiking
i) Kayaking
j) Scuba Diving
k) Whitewater
l) Wilderness Survival
3) Earth Science (circle badge completed)
a) Energy
b) Forestry
c) Geology
d) Nature
e) Oceanography
f) Plant Science
g) Soil and Water Conservation
h) Weather
4) Earn the Public Health merit badge.
5) During the 2021 calendar year, participate in an environmental/
public health community service project as part of an approved
Scouting program totaling at least 6 hours.
* Merit badges may be earned retroactively.
1) _______________/________
2) _______________/________
3) _______________/________
4) _______________/________
5) _______________/________
I affirm that the above-named youth has completed all of the requirements for the 50th Anniversary
Environmental Protection Agency Award.
Unit leader’s signature: ______________________________________ Date: ____________
This is a restricted item available only in your local council trading post or Scout Shop.
Return this signed application to the Scout Shop to receive the patch.