Foundation of the 1st Cavalry Division Association
Application for Registration for Scholarship Benefits
This application is for registration of descendants of the following named soldier, a veteran of service with the 1st Cavalry Division, for 1st Cavalry Division Association scholarship benefits:
NAME OF SOLDIER: ____________________________________________________
UNIT AND DATES WHEN ASSIGNED TO THE
DATE OF DEATH OR PERCENT OF DISABILITY: _____________________________
_____I certify that
I am the widow of the above named soldier. The persons named below are his
children. Copies of their Birth Certificates, a copy of his Casualty Report,
documentation of his assignment to the 1st Cavalry Division at the time of his
death and documentation of his membership in the 1st Cavalry Division
Association, if death occurred in peacetime, are attached.
_____I certify that I am totally and permanently (100%) disabled, to the extent of preventing me from performing any work for substantial compensation or profit, as a result of wounds received or disease contracted while I served with the 1st Cavalry Division in ___the Vietnam War ___ Desert Storm ___ Iraqi Freedom (Check one). The persons named below are my children. Copies of their Birth Certificates with parentage, documentation of my assignment to the 1st Cavalry Division, documentation of my membership in the 1st Cavalry Division Association, documentation of my disability in the degree shown above and proof that the disability resulted from wartime service with the 1st Cavalry Division are attached.
NAME(S) AND ADDRESS OF CHILD(REN): (Use a separate sheet for additional persons.)
I understand that I will
receive confirmation of registration for each eligible child and that I must
keep the Foundation informed of each child's current address, that each
registered child must make application for a scholarship grant
upon acceptance at a recognized institution of higher education, and that
eligibility based on disability must be re-validated at the time of application.
Application forms are available from the Foundation.
______________________________________ST: ______ZIP: _________________