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ngaa1
2024-02-15T10:59:14-06:00
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1
Applicant Information
2
Deceased Service Member
3
Financial Information
4
Awards & Recognition
5
Community Service
6
Extracurricular Activities
7
Academic Information
8
Goals & Career Objectives
NOTE:
Space is provided on the last page of this application for additional information for any of categories on this application.
Name
*
First
MI
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Northern Mariana Islands
Ohio
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Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
*
Work Phone
Email
*
Enter Email
Confirm Email
Age
*
Marital status
*
Select...
Single
Married
Separated
Divorced
Widowed
Are you a current member of the Arkansas National Guard?
*
Yes
No
Type
*
AGR
Technician
M-Day
Unit
*
Rank
*
Phone
*
Academic Level
*
High school student expecting to attend college full-time in the fall semester.
Currently enrolled in undergraduate college and expecting to continue full or part-time in the fall semester.
Working on post-graduate degree.
Deceased Service Member
Name
*
First
MI
Last
Relationship to applicant
*
Last rank held
*
Branch
*
Army
Navy
Air Force
Marine
Coast Guard
Duty Status at Death
*
Active Duty
Traditional Guard/Reserve
Active Guard and Reserve (AGR)
Occupation
*
Expected income in 2023
*
Over $45k
$10k - $45k
Under $10k
Number of dependent children
*
Estimated amount of tuition, room and board, and other fees
*
List all MILITARY and CIVILIAN awards/recognition received in the military, high school, college, community or other:
You may enter up to 6 in this section. More entry spaces will appear as you type.
Award/Recognition 1
Name of Award/Recognition
Organization Presenting
Type
Number of Years
Award/Recognition 2
Name of Award/Recognition
Organization Presenting
Type
Number of Years
Award/Recognition 3
Name of Award/Recognition
Organization Presenting
Type
Number of Years
Award/Recognition 4
Name of Award/Recognition
Organization Presenting
Type
Number of Years
Award/Recognition 5
Name of Award/Recognition
Organization Presenting
Type
Number of Years
Award/Recognition 6
Name of Award/Recognition
Organization Presenting
Type
Number of Years
List all community service performed while in high school and college:
You may enter up to 6 in this section. More entry spaces will appear as you type.
Community Service 1
Organization
Activity Performed
Number of Hours
Community Service 2
Organization
Activity Performed
Number of Hours
Community Service 3
Organization
Activity Performed
Number of Hours
Community Service 4
Organization
Activity Performed
Number of Hours
Community Service 5
Organization
Activity Performed
Number of Hours
Community Service 6
Organization
Activity Performed
Number of Hours
List all extracurricular activities in which you participated while in high school and college:
You may enter up to 4 in this section. More entry spaces will appear as you type.
Extracurricular Activity 1
Organization
Office Held
Type Activity
Number of Years
Extracurricular Activity 2
Organization
Office Held
Type Activity
Number of Years
Extracurricular Activity 3
Organization
Office Held
Type Activity
Number of Years
Extracurricular Activity 4
Organization
Office Held
Type Activity
Number of Years
Current School You Attend (College, High School, etc)
Name of School
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Years attended
*
Graduation Date
*
GPA
*
ACT/SAT Scores
ACT Composite Score:
SAT Composite Score:
Briefly explain your goals and career objectives:
*
Additional information or comments as desired:
Certification
Certification
*
I certify that all information on this application is true and correct to the best of my knowledge.
Signature
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Use your mouse or touchscreen to sign your name in the box above.
Date
*
MM slash DD slash YYYY
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