FOUNDATION OF THE 1ST CAVALRY DIVISION ASSOCIATION
APPLICATION
FOR ACTIVE DUTY SOLDIER, SPOUSE OR CHILD'S SCHOLARSHIP
FALL SESSION 2008 THROUGH SUMMER SESSION 2009
SPONSOR's
NAME ____________________________________ RANK ______ SSN ______________________
LOCAL
HOME ADDRESS
_____________________________________________________________________
_____________________________________________________________
H-PHONE ____________________
UNIT
______________________________ DY-PHONE __________________
ETS/PCS DATE ______________
TOTAL
NO. OF DEPENDENTS ____. I AM A
MEMBER OF THE 1ST CAV DIV ASSOCIATION ________
STUDENT's
NAME _____________________________________
RELATIONSHIP TO SPONSOR ____________
SSN
____________________ AGE _____ ADDRESS
________________________________________________
HIGH
SCHOOL OR COLLEGE YOU CURRENTLY
ATTEND ____________________________________________
ADDRESS
__________________________________________________________________________________
NO.
IN CLASS _______ YOUR RANK IN CLASS ________ GPA _______ GRADUATION DATE
______________
SCHOLASTIC
HONORS/DISTINCTIONS RECEIVED (Attach a separate sheet if necessary)
____________________
__________________________________________________________________________________________
__________________________________________________________________________________________
EXTRA
CURRICULAR ACTIVITIES (Attach a separate sheet if necessary)
_________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
NAME
OF COLLEGE YOU PLAN TO ATTEND
______________________________________________________
ADDRESS
__________________________________________________________________________________
COURSE
OF STUDY ________________________________ HAVE YOU BEEN ACCEPTED?
YES _____ NO _____
ENROLLMENT
DATE ___________ LENGTH OF CURRICULUM ____
YRS. ANNUAL TUITION COST $_________
HAVE
YOU BEEN PREVIOUSLY AWARDED A SCHOLARSHIP GRANT FROM THE FOUNDATION OF THE 1ST
CAV
DIVISION
ASSOCIATION? YES ____ NO ____
IF YES, HOW MUCH $_________ DATE
AWARDED ___________
TOTAL
ANNUAL FAMILY INCOME
$___________
HAVE
YOU APPLIED FOR OTHER FINANCIAL AID? YES ___ NO ___
IF YES, AMOUNT GRANTED? $
___________
DO YOU RECEIVE BENEFITS UNDER THE G.I. BILL ? YES ___ NO ___ IF YES, AMOUNT GRANTED? $__________
HOW
MUCH FINANCIAL AID WILL BE AVAILABLE FROM SOURCES OTHER THAN THOSE ABOVE?
$ _________
MY
ACADEMIC GOALS ARE: ____________________________________________________________________
_____________________________________________________________________________________________
I
THINK THAT I SHOULD BE AWARDED THIS GRANT BECAUSE:
________________________________________
_____________________________________________________________________________________________
___________________________________________________________________________________________________
CERTIFICATION
I
UNDERSTAND:
1.
That submission of an application
does not assure that a scholarship grant will be awarded.
2.
That proof of relationship must be
provided for spouse and child applicants.
3.
That a 500 word essay addressing a
major problem facing our country today must accompany this application.
Applicant
is to select and analyze the problem and give recommendations for a solution or
solutions.
4.
That the Certification of
Institutional Authority (1CDA FORM 10) must be completed for EACH course to be
taken
during the 2008-2009 school year and VALIDATED by an APPROPRIATE
REPRESENTATIVE of the Educational Institution
to include the address to which the grant checks will be sent for this
application to be considered by the Scholarship Selection Board.
5.
That any scholarship grant awarded
is based on the assumption that I (my sponsor) will remain assigned
to
the 1st Cavalry Division on active duty during the term of the grant.
6.
That I am invited, but not
obligated, to repay any scholarship grant to the Foundation of the 1st Cavalry
Division
Association, in whole or in part, when I am able, to enable the Foundation to
continue to offer support to others.
7.
That I/A/W AR 342-2, information
provided in this application is privileged in nature and will not be furnished
to
any commercial enterprise or representative, nor any organization outside the
United States Government or the 1st
Cavalry
Division Association.
I
affirm that the information given on this application is complete and correct to
the best of my knowledge.
____________________________
_______________________________________________________
(Date)
(Signature of Applicant)
__________________________
________________________________________________________
(Date)
(Signature of Sponsor)
ATTACHMENTS:
Copy (front only) of Dependant ID Card (DD Form 1173) if student is
spouse or dependent child of service member.
School transcript or college record of most recent two semesters.
Application, 1CDA Form 10, completed and signed by a representative of
the college to be attended.
Two letters of recommendation from other than relatives.
500 word Essay on a problem facing our country and a solution or solutions.
1CDA
Form 9
REV. 03-31-04