TYPE OR PRINT ALL INFORMATION EXCEPT SIGNATURES Completeness and neatness ensure your application will be reviewed properly.
APPLICANT DATA
Application deadline March 27th
Last Name
First
Apartment #
City
State
Telephone (
MILITARY FAMILY MEMBER DATA
Middle Initial
Permanent Home Mailing Address
)
Date of Birth: Month
Last Name
Day
First
The military family member is an Check one
ZIP Code
Marine
active duty,
reserve, or
Year
Middle Initial discharged member of the United States military.
Navy FMF Corpsmen
Relationship to Applicant MCJROTC Applicant
Allen
McKinney
HIGH SCHOOL DATA
School Name
High School Graduation Date: Month
City
State
POSTSECONDARY SCHOOL DATA
Name of postsecondary school you plan to attend. (Proof of acceptance or enrollment must be attached.) Use official school names. Do not use abbreviations.
Telephone (
Year )
City
4 yr. College or University
2 yr. Community or Junior College
Major or course of study:_______________________________ Bachelor Degree sought:
State
Associate
Vocational
Expected college graduation date: Month__________
Year_ ______
Other
ESSAY On a separate sheet of paper, please answer the following essay question. Essays must be a minimum of 500 words. "Tell us about someone you know who has served or is serving in the military and how their service has impacted you."
The Marine Corps League of Collin County LCpl Jacob D Hayes Detachment
Sending a resumé does not replace any part of this application. If space provided in any section is inadequate, you may continue on additional sheets. Attachments must follow the same format. DO NOT repeat information already reported on the application form. Your name, address and name of this scholarship program should be included on all attachments. WORK EXPERIENCE
Describe your work experience during the past four years. Indicate dates of employment for each job and approximate number of hours worked each week. Employer/Position
From - Mo/Yr
To - Mo/Yr
Hours per Week
Were you paid for your work?
YES / NO YES / NO YES / NO YES / NO ACTIVITIES, AWARDS AND HONORS
List all school activities in which you have participated during the past four years (e.g., student government, music, sports, etc.). Note all special awards, honors and offices held. Indicate whether high school or college activities.
COMMUNITY SERVICE AND VOLUNTEER ACTIVITIES
List all community service and volunteer activities in which you have participated during the past four years (e.g., Boy/Girl Scouts, hospital volunteer, Special Olympics). Do not list activities for which you received payment.
GOALS AND ASPIRATIONS
Make a brief statement or summary of your plans as they relate to your educational and career objectives and long-term goals.
Activity
No. of Years Partic.
Special Awards, Honors
Offices Held
Activity
No. of Years Partic.
Special Awards, Honors
Offices Held
Please describe how and when any unusual family or personal circumstances have affected your achievement in school, work experience, or your participation in school and community activities. CIRCUMSTANCES
UNUSUAL
The Marine Corps League of Collin County LCpl Jacob D Hayes Detachment
The Marine Corps League of Collin County LCpl Jacob D Hayes Detachment has the sole responsibility for selecting recipients based on criteria as set forth in the program’s description. This application becomes the property of The Marine Corps League of Collin County LCpl Jacob D Hayes Detachment. (It is recommended you keep a copy for your files.) I have read and understand the eligibility requirements. I certify I meet eligibility requirements of the program as described in the guidelines and the information provided is complete and accurate to the best of my knowledge. If requested, I will provide proof of information, including an official transcript of grades. Falsification of information may result in termination of any award granted. I acknowledge decisions are final. If selected as a recipient, I also agree to allow the The Marine Corps League of Collin County LCpl Jacob D Hayes Detachment to use my personal information and photograph I will provide for promotional purposes. Applicant’s Signature
Date
Parent’s Signature
Date
The Marine Corps League of Collin County LCpl Jacob D Hayes Detachment
City State ZIP Code. Telephone ( ) Date of Birth: Month Day Year. MILITARY. FAMILY. MEMBER. DATA. Last Name First Middle Initial. The military family member is an active duty, reserve, or discharged member of the United States military. Check one Marine Navy FMF Corpsmen. Relationship to Applicant. MCJROTC ...
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