Future American Legion Gold Star Post 191 Events

AMERICAN LEGION MEMORIAL--- SCHOLARSHIP ADVANCED
PROGRAM OFFERED
BY
AMERICAN LEGION GOLD STAR POST 191
GENERAL INFORMATION AND APPLICATION

GENERAL INFORMATION

In accordance with its Americanism Program, American Legion Gold Star Post 191, Mount Airy, Maryland, has established the following Memorial Scholarship. Is purpose is to assist a youth in furthering his/her schooling while enrolled full-time in a college, university or technical school. A student can receive this scholarship only one time, i.e. onetime only.

AMERICAN LEGION MEMORIAL SCHOLARSHIP ADVANCED $1,500.00

This scholarship is earmarked for a recipient in the following order.

A Post 191 Legion member in good standing.
A descendant of a living or deceased Post 191 Legionnaire.
The son or daughter of a Military person on active duty or an honorably discharged, separated,
or retired U.S. Military veteran.
A student from the Mount Airy environs.

To be eligible for consideration, an applicant must be:

A citizen of the United States of America who appreciates the value of education and is
wiling to work hard to achieve success; and
A high school graduate who is under age 24 by the prescribed application submittal
date and is a full-time undergraduate of an accredited college, university or technical school; and
A candidate who submits a formal Post 191 application with the necessary information
post-marked on or before April 1 to:

SCHOLARSHIP COMMITTEE
American Legion Gold Star Post 191
801 Prospect Road, P.O. Box 24
Mount Airy, MD 21881

Criteria that will be taken into consideration for this scholarship include academic achievement,
leadership, character, activities, financial need and work experience.

The decision of the Scholarship Committee is final.

The successful recipient of the scholarship award will be announced on or about May 1.The grant itself will be made in the name of the recipient to any accredited college, university or technical school upon submission of a tuition statement from the educational institution.

(1)

THE AMERICAN LEGION
GOLD STAR POST 191
P.O. BOX 24
MOUNT AIRY, MARYLAND 21771 APPLICATION FOR SCHOLARSHIP GRANT

STUDENT INFORMATION

Name ___________________________________________ Social Security Number________________________

Date and Place of Birth _________________________________________________________________________

Home Address _________________________________________________________________

Telephone Number ________________________________________

Military Service Dates (if any) ______________________________ Branch ___________________

Type of Separation or Discharge ______________________________________________________

SCHOOL INFORMATION

Name of High School _____________________________________ Address ___________________

College or Trade School Matriculation ________________________ Address ___________________

Career Objective ___________________________________________________________________

PARENTAL INFORMATION

Name of Father ________________________________________ Occupation ___________________

Military Service Dates (if any) ______________________________ Branch ______________________

Name of Mother ________________________________________ Occupation ___________________

Military Service Dates (if any) ______________________________ Branch ______________________

Type of Separation or Discharge ____________________________

       Are you a descendant of a living or deceased Post 191 Legionnaire? Yes_______ No ________
          If "Yes" was checked, list the Legionnaire's name and year of death if deceased __________________
           _____________________________________________________________________________

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WORK EXPERIENCE

FROM TO EMPLOYER POSITION HELD

______            ______             _______________________          _______________________

______            ______             _______________________          _______________________

______            ______             _______________________          _______________________

SCHOOL ACTIVITIES

YEAR ORGANIZATION POSITION

COMMUNITY ACTIVITIES

YEAR ORGANIZATION POSITION

REFERENCES (not relatives)

NAME ADDRESS PHONE NUMBER

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OTHER INFORMATION

The following information is to be submitted to the SCHOLARSHIP COMMITTEE of Gold Star
Post 191 by April 1

Academic transcript of High School and College records.

2. Three letters of reference from responsible adults ( not relatives).

3. A brief original essay indicating your career objectives and why you need more education.

OTHER PERTINENT INFORMATION

1. Please place a circle around any Gold Star 191 American Legion Youth Citizenship
Program in which you have participated.

        American Legion Auxiliary    Sons of The American Legion    Boys State
             High School Oratorical Contest   Legion Baseball   Girls State
        ROTC    Auxiliary Essay Contest    Boy Scout Troop 191    Cub Scout Pack 1191
             Any Other Gold Star 191 Activity (please explain) --

2. Please write a brief essay providing any additional information or special facts you would
like the Scholarship Committee to consider in connection with your application.

CERTIFICATION

   I affirm that the foregoing information reported on this application is true, correct and complete.
   I fully understand that any misrepresentation or incorrect information can lead to disqualification
   for or forfeiture of any scholarship grant.

DATE STUDENT'S SIGNATURE

REVIEWED BY:

PARENT'S SIGNATURE SCHOOL COUNSELOR'S SIGNATURE

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