American Legion Auxiliary Department of Georgia

3035 Mt. Zion Rd. Stockbridge, Ga. 30281-4101 678. 289.8446

Past Department Presidents Scholarship Application

Two Scholarships for $1,000.00 Each

Applicant Must Be The Descendant Of A Veteran. Application Must Be Submitted Through A Sponsoring American Legion Auxiliary Unit. Note: Deadline For Submitting All information must be submitted with original application On Or Before June 1, of Current Year to the above address.

Unit Number Location

1.  Name of Applicant
First Middle Last Phone

2.  Home Address City State Zip

3.  School last attended City State Zip

4.  Date of Graduation Date of Birth

5.  School in which applicant will enroll

6.  Name of parent or guardian of applicant

7.  Address City State Zip

8.  Name of descendant who served in the US Military during any of the time periods listed below:
WW I, (April 6, 1917-November 11, 1918) WW II, (December 7, 1941-December 31, 1946)
Korean War, (June 25, 1950-January 31, 1955) Vietnam War, February 28,1961-May 7, 1975)
Grenada/Lebanon, (August 24, 1982-July 31, 1984) Panama (December 20, 1989-January 31, 1990)
Persian Gulf War, (August 2, 1990 to the date of cessation of hostilities as determined by the US Government)

9.  Brief statement of service

10.  Are parents living? Disabled? Occupation Annual Income? $

11.  Number of children (excluding yourself) in family: Under 18 years Over 18 years

12.  Are parents members of the American Legion and/or American Legion Auxiliary?

13.  Are you eligible for benefits under Jr. GI Bill? Yes No

14.  Are you eligible for or drawing Social Security payments? Yes No if yes, amount $

15.  Have you applied for another award or scholarship? Amount $
Have you been awarded another award or scholarship? Amount $

16.  The applicant must attach to this form a statement, in his or her own handwriting, as to:
1. Why he or she wishes to further their education
2. His or her need for a scholarship
3. Recent Photograph

17.  Applicant must attach a transcript of all High School grades, and must submit scores from College Entrances Examination Board
Test Certification by Principal or Counselor as to scores is sufficient. If a GI, submit College Grades. It is not necessary to
request a copy of College Entrance Examination Board.

18.  A recommendation from High School Principal or Superintendent must be attached to the application.

19.  Applicant must attach recommendations from two responsible people who know the applicant well (limit to two letters).

20.  Applicant must attach an endorsement by the Auxiliary Unit sponsoring the applicant.

21.  An original essay must be submitted by the applicant, consisting of not more than 500 words on a topic of their choice.

22.  GIs can apply who have used up their Government Aid and are in need of help to finish their education.
If a GI, please tell if you are a member of the American Legion
If married, is wife a member of the American Legion Auxiliary

23.  All information must be submitted with the original application to the above address.

______

Signature of Unit President Signature of applicant

2004