Name:
Last First Middle
Address:
Veteran’s Name:
Last First Middle
Spouse of Veteran Name:
Last First Middle
Veteran’s Occupation:_____________________________________ Employer _________________________________
Spouse of Veteran Occupation:_____________________________ Employer _________________________________
Number of other dependents of Veteran ___ Other family members in college? ___
Name of college (s) or University (s) that you have been accepted: __________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
What course of study do you plan to pursue? ____________________________________________________________
__________________________________________________________________________________________________
Have you received this scholarship before? (list years, if any) ______ ______ ______ ______
Do you plan to work during the school year? Explain _____________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
What portion of your education do you intend to finance yourself? 0% 20% 40% 60% 80% 100%
List any school, community or Chapter activities in which you have been active in high school or college _________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Grade point average: 9th ___ 10th ___ 11th ___ 12th ___ / 1st yr. College ___ 2nd yr. ___ 3rd yr. ___ 4th yr. ___
NOTE: A transcript of all your high school and/or college grades MUST be submitted with this application to be eligible for a scholarship. This Application MUST be COMPLETELY filled out or it will be declared ineligible.
A copy of the Veterans DD-214, MUST be enclosed with this application
On an attached sheet of paper, write a paragraph noting information about your personal goals in obtaining higher education. Please include your strengths and weaknesses. Deadline to return: June 01st, 2008
Return to: Vietnam Veterans of America, Chapter 380 (Scholarship Committee)
173 U.S. 41 East Negaunee, Mi. 49866
Scholarship open to: Vietnam Veteran, Spouse of Veteran, Children & Grandchildren, See Qualification Sheet
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Please Print Out This Page, Fill It Out & Mail To The Address Below
Click here to download application