APPLICANT’S INFORMATION

Name (Last, First, MI):

Date of Birth (MM/DD/YYYY):

Address:

NumberStreetAptCityStateCountyZip

Contact Information:

Home phoneMobile phoneEmail Address

FIRST TIME COLLEGE BOUND STUDENTS

High School: (Name)

NumberStreetCityStateZip

Expected Graduation Date (MM/DD/YYYY):

University or College To Be Attended: (Name)

(City, State)

Intended Major:

BASIS OF SCHOLARSHIP ELIGIBLITY (LIST ARMY OR DEFENSE AFFILIATION)

High School Seniors (check one)
☐Mother / Father (circle one or both) is currently a member of any active, guard or reserve component of the U.S. Army
☐Mother / Father (circle one or both) served in the U.S. Army, National Guard or Army Reserves
☐Mother/ Father (circle one or both) currently works for an Army defense contractor or an Army defense agency
☐I am a student in a high school Army JROTC program / Soldier and Spouses Attending College (check one)
☐Active Army Soldier
☐Army National Guard or Reserve Soldier
☐Spouse to a Soldier

Description of Eligibility (Examples: My father is in the Reserves. My mother served in the Army. My mother works for Boeing.)

APPLICANT’S FAMILY (Complete one or both)

Father’s Name(Last, First, MI):

Address:

NumberStreetAptCityStateZip

Contact Information:

Home phoneMobile phoneEmail Address

Mother’s Name(Last, First, MI):

Address:

NumberStreetAptCityStateZip

Contact Information:

Home phoneMobile phoneEmail Address

SCORING GUIDE FOR HIGH SCHOOL SENIORS

Scholarship awards will be based on the following four factors. Each factor is weighted 25%.

☐High School Grade Point Average: Grading Scale (e.g. 4.0, 5.0 etc.):

☐Must attach official high school transcript.

☐Standardized Test Scores:ACT: SAT:

☐Two letters of recommendation. Neither letter may be written by a family member.

☐Essay on one of the following topics (each essay should be typed, submitted on a separate sheet(s) of paper and not exceed 600 words:

  • What affect has the Army had on your life or the life of someone in your family?
  • How can the people of the United States show support for our troops?
  • What have you done to support our Soldiers?

SCORING GUIDE FOR ARMY PERSONNEL ATTENDING COLLEGE

Scholarship awards will be based on the following three factors. Each factor is weighted 33.33%.

☐College transcript and grades (must submit official college transcript)

☐Extracurricular activities

☐Two letters of recommendation. Neither letter may be written by a family member.

Submit all documents to:
Association of the US Army Scholarship
c/o Aegion Corp.
17988 Edison Ave.
Chesterfield, MO 63005 / Point of Contact:
Dan Schoenekase
636-530-9797

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