American Legion Auxiliary
- Department of Arkansas
1415 West Seventh Street
Little Rock, AR 72201
(501) 374-5836
Fax: (501) 372-0855
Email: [email protected]
Find us on the Web: www.auxiliary.arlegion.org
_____________________________________________________________________________________________
Academic Scholarship Application (Auxiliary Fiscal Year 2015-2016)
Scholarship Award of $1,000.00
Awarded for School Year- Fall Semester 2016/Spring 2017
Deadline to submit the application to the American Legion Auxiliary Unit President is March 1, 2016
This is a Gift Scholarship - Not a loan.
1.
RULES
Candidates for the Scholarship shall be descendants of Veterans who served during the dates of
eligibility for membership in the American Legion , War/dates:
A. April 6, 1917-Nov. 11, 1918-WWI
B. Dec.7, 1941-Dec.31, 1945-WWII
C. June 25, 1950-Jan.31, 1955- Korean
D. Feb.28, 1961-May 7, 1975- Vietnam
E. Aug. 24, 1982-July 31, 1984-Grenada/Lebanon
F. Dec. 29, 1989 – Jan.31, 1990 Panama
G. Aug. 2, 1990-date of cessation-(Persian Gulf)
2.
Applicants must be in their Senior year of high school in Arkansas.
3.
A Committee of three qualified persons shall serve as judges.
4.
Applications must be submitted to the President of the Unit in the nearest Arkansas- City, town or
community in which the applicant resides.
5.
Each Unit will select ONE WINNER OF THE Scholarship, Certified by the Unit president, and forwarded
to the American Legion Auxiliary Department Headquarters (1415 W. 7th Street- Little Rock, AR 72201)
by March 15, 2016. Applications received at Department Headquarters and not certified by the Unit
President will be rejected.
6.
Students must register for the first semester; the school must confirm the registration to Department
Headquarters. Half the Scholarship will be paid to the school following confirmation of enrollment for
the first semester (this is for tuition only, dropping out forfeits Award); the balance will be paid to the
school after confirmation of enrollment by the school for the second semester.
7.
Judging, at all levels, shall be based on the following:
8.
a. Character-15%
b. Americanism-15%
d. Financial Need-15%
e. Scholarship-40%
c. Leadership-15%
Applicant’s Total Annual Family Income may not exceed $55,000.00.
The Decision of the Judges shall be FINAL
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American Legion Auxiliary – Department of Arkansas - Academic Scholarship Application – Revised October 24, 2015 [jml]
APPLICATION PACKET REQUIREMENTS
1. Completed application packet for Academic Scholarship (Award of $1,000.00)
2. The following four (4) letters of recommendation are required:
a. One letter from the Principle or guidance counselor of the school from which
the applicant will graduate, and must include the size of the class, the
student’s position in the class, and cumulative grade point average.
b. One letter from a clergyman/clergywoman of the applicant’s choice.
c. Two letters from adult citizens, other than relatives, attesting to the character
of the applicant in regard to conduct, citizenship and leadership.
3. An original article/essay consisting of 800 to 1,000 words (typed, doubledspaced) on how an education will contribute to the applicant’s future patriotic
spirit, the title of which should be, “How Military Families are Keeping the
Promise to Preserve our Freedom”.
4. A Certified photocopy of the high School transcript of the applicant.
5. A copy of ACT or SAT Test Scores.
6. A photocopy of the discharge papers (ie. DD214 or certified document) of the
Veteran showing branch of service and dates of service.
We must have all Documentation.
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American Legion Auxiliary – Department of Arkansas - Academic Scholarship Application – Revised October 24, 2015 [jml]
AMERICAN LEGION AUXILIARY DEPARTMENT OF ARKANSAS
APPLICATION FOR ACADEMIC SCHOLARSHIP-$1,000.00
Please submit completed application to the Unit President of the American Legion Auxiliary no
later than March 1, 2016.
Please Type or Print Clearly (Black or Dark Blue Ink)
Name of Applicant:_____________________________________________________________
Mailing Address:_______________________________________________________________
City: ____________________________________State:____________Zip Code:___________
Applicant Telephone Number: ___________________ Email: __________________________
Name of Veteran by which applicant is eligible:_______________________________________
Is Veteran Living?____Deceased?_____Applicant’s Relationship to Veteran:_______________
In household of applicant, number of dependent children age 18 and under:___Over age 18___
Grade Levels:_____ ______ ______ _____ _____ _____
Name of Father/StepFather______________________________________________________________
Occupation:__________________________________________ Annual Income:$__________________
Name of Mother/Step Mother____________________________________________________________
Occupation:__________________________________________ Annual Income: $__________________
Total monthly government compensation or pension received by parent and/or children: $_____________
Monthly compensation or pension for applicant if mother has remarried or died:$____________________
Are you eligible for/or drawing Social Security payments? Yes__________________ No______________
If so, Monthly Income $__________________________Time Limit on Benefits_____________________
Are you eligible for benefits under Survivors and Dependents Education? Yes___________ No________
Please Note: Applicant’s Total Annual Income may not exceed $55,000.00
Proposed date of graduation from High School:______________________________________________
Name of College or University you hope to attend:____________________________________________
Signature of Applicant:____________________________________________Date:________________
_____________________________________________
Printed Name
Important Note: Please review the “packet requirements”, be sure to attach all required material for this
application and submit to the President of the American Legion Auxiliary Unit in or near the community in
which you reside.
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American Legion Auxiliary – Department of Arkansas - Academic Scholarship Application – Revised October 24, 2015 [jml]
UNIT CERTIFICATION FOR ACADEMIC SCHOLARSHIP
Unit Charter Name:____________________________________________
Unit Number:_______Unit City:__________________________________
Unit Address:________________________________________________
Unit President’s Address:
Name_______________________________________________________
Address:_____________________________________________________
City_______________________________State:________Zip:__________
X__________________________________________________________
Signature of Unit Secretary or Education Chairman
Phone Number:_______________________________________________
X__________________________________________________________
Signature of Unit President
Phone Number________________________________________________
Signature of Applicant:____________________________________________Date:________________
_____________________________________________
Printed Name
Applicant Telephone Number: ___________________ Email: __________________________
Important Note: Please review the “packet requirements”, be sure to attach all required material for this
application and submit to the President of the American Legion Auxiliary Unit in or near the community in
which you reside.
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American Legion Auxiliary – Department of Arkansas - Academic Scholarship Application – Revised October 24, 2015 [jml]
DEPARTMENT CERTIFICATION FOR ACADEMIC SCHOLARSHIP
American Legion Auxiliary
Department of Arkansas
1415 West Seventh Street
Little Rock, AR 72201
Original Application and Documentation must be attached and submitted
for consideration.
Department President:
Name____Carol Westergren _________________
X_________________________________________________________________
Signature of Department President
Department Secretary:
Name ____Jean Leek __________________
X____________________________________________________________________
Signature of Department Secretary or Education Chairman
Department Education Chairman:
Name ___Nancy French_________ ________
X____________________________________________________________________
Signature of Education Chairman
Signature of Applicant:____________________________________________Date:________________
_____________________________________________
Printed Name
Applicant Telephone Number: ___________________ Email: __________________________
Important Note: Please review the “packet requirements”, be sure to attach all required material for this
application and submit to the President of the American Legion Auxiliary Unit in or near the community in
which you reside.
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American Legion Auxiliary – Department of Arkansas - Academic Scholarship Application – Revised October 24, 2015 [jml]