Applications

AMERCAN LEGION CHARLES DIXON POST 241

SCHOLARSHIP APPLICATION For currently enrolled high school students

NAME:________________________________________ADDRESS:___________________________________________________

CITY:_________________________________ZIP:______________PHONE:______________________

The answer to at least ONE of the following two questions must be “YES” for you to be eligible for this scholarship:

IS A PARENT OR GRANDPARENT A U.S. VETERAN WHO SERVED AT LEAST ONE YEAR ON ACTIVE DUTY?_________

HAVE YOU COMPLETED AT LEAST TWO YEARS IN JROTC OR THE SEA CADET PROGRAM? ________

FATHER:______________________OCCUPATION:______________________EMPLOYER:______________________________

MOTHER:_____________________OCCUPATION: ______________________EMPLOYER:______________________________

NUMBER OF DEPENDENTS IN FAMILY:_______ AGES:_______________________________________________

NAME OF COLLEGE YOU ARE PLANNING TO ATTEND:_____________________________MAJOR:____________________

DO YOU PLAN TO COMPLETE AT LEAST 30 SEMESTER HOURS PER YEAR? ________ (required for eligibility)

DO YOU PLAN TO WORK WHILE ATTENDING COLLEGE?____________

HAVE YOU TAKEN THE SAT? _______ IF YES, LIST DATE AND SCORE: _________________________________________

HAVE YOU TAKEN THE ACT? _______IF YES, LIST DATE AND SCORE: _________________________________________ WILL YOU BE THE FIRST IN YOUR FAMILY, OTHER THAN OLDER SIBLINGS, TO ATTEND COLLEGE? _____________

For any of the following, please attach a separate sheet if necessary.

Describe any circumstance that demonstrates a financial need for assistance for you to go to college:

______________________________________________________________________________________________________

List academic awards and honors:_______________________________________________________________________________ ______________________________________________________________________________________________________

______________________________________________________________________________________________________

List extracurricular activities including any special hobbies or talents:_________________________________________________ ______________________________________________________________________________________________________

______________________________________________________________________________________________________

American Legion Post 241 Scholarship Application

LIST JOB EXPERIENCES:

COMPANY DATES OF EMPLOYMENT DUTIES

__________________________________________________________________________________________________________

This scholarship is being offered by an organization of United States military veterans. What do you feel makes you a good candidate for a scholarship provided by veterans?

__________________________________________________________________________________________________________

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge, and I have not exaggerated or falsified any information.

Applicant Signature: Date:

Parent Signature: Date: