* indicates required fields - enter n/a if it does not apply |
*Name: |
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| *Mailing Address: |
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| *City |
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| *State |
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| *Zip Code |
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| *Phone Number: |
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| *Email Address: |
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| Grade Point Average (%): |
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| Rank in Class: |
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| Test Scores : |
ACT:
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SAT:
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*Schools Attended
(Centers, etc.): |
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| Work Experience: |
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| *Major or Vocational Choice: |
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| Length of time expected to complete the program: |
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| *Projected First Year Costs (Tuition, Books/Supplies, Living Expenses): |
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List of School(s) Applied to:
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| List Scholarship(s) received |
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*College Payment Plan (Savings, Loans, Parents, Scholarships, Work, etc.):
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List High School Classes and/or Experience that Helped in Making this Career Choice:
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List High School Activities and Honors:
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List Activities and/or Honors with Community and/or Church:
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| Has any family member been involved in the American Legion Post 33? Yes
No
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If yes please list their name and relationship to you:
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Name |
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Relationship |
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| Have you participated in any activities sponsored by the American Legion Post 33? Yes
No
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If yes please specify:
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| Future Plans: |
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| Fathers Information: |
*Name
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| *Address
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| *City
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| *State
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| *Zip Code
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| *Occupation
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| Mothers Information |
*Name
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| Address (if different from above)
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| City (if different from above)
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| State (if different from above)
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| Zip Code (if different from above)
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| *Occupation
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| Family Information:
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*Name of Brothers/Sisters, Age, Grade Level ( example Jim, 9, 3rd)
Please separate each sibling with a return
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List family members enrolled in College Credit Classes
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Make sure the form is filled in entirely before submitting the form
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