VVA MIKE NASH SCHOLARSHIP FUND COVER SHEET
* MUST BE COMPLETED BY JUNE 30, and December 15
(NOTE: This Scholarship Cover Sheet should
be considered as a synopsis of your scholarship application. This cover sheet
highlights many of the points that are of particular significance to those
deciding the worthiness of your application and are important to the final
decision.)
| Name of applicant: |
________________________________________________________ |
| |
|
| Social Security Number: |
________________________________________________________ |
| |
|
| Type of scholarship applied for: |
Region # __________ |
Special __________ |
|
(May only apply for one.) |
|
(Explain) |
| |
|
|
| Relationship of applicant to Vietnam-era veteran: |
|
Self __________ |
Spouse __________ |
Child _________ |
|
Grandchild __________ |
Dependent __________ |
|
| Dependent or descendant of MIA or KIA Vietnam Veteran
__________ |
| |
| Is Vietnam veteran a VVA member? |
Member # _______________ |
NO _______________ |
| |
|
|
| If deceased, attach a copy of veteran's DD-214 and death
certificate: |
| |
Attached YES ______________ |
NO _______________ |
| |
|
|
| High School or College Transcripts: |
Attached YES ______________ |
NO _______________ |
| |
|
|
| Photocopy of SAT or ACT results: |
Attached YES ______________ |
NO _______________ |
| |
|
|
| Letter of college/university acceptance:
|
Attached YES ______________ |
NO _______________ |
| |
|
|
| Letter of recommendation from VVA State Council or Chapter
(on letterhead): |
| |
Attached YES ______________ |
NO _______________ |
| |
|
|
| Statement describing financial need: |
Attached YES ______________ |
NO _______________ |
| |
|
|
| Parents IRS Form 1040: |
Attached YES ______________ |
NO _______________ |
| |
|
|
| Applicant's IRS Form 1040:
|
Attached YES ______________ |
NO _______________ |
| |
|
|
| Two letters of reference: |
Attached YES ______________ |
NO _______________ |
| |
|
|
| Current educational goals and objectives: |
| |
Attached YES ______________ |
NO _______________ |
| |
|
|
MIKE NASH SCHOLARSHIP FUND APPLICATION
*Deadline for submission: June 30 or December 15 *
PERSONAL
|
____________________________________________________________________________________ |
|
____________________________________________________________________________________ |
|
____________________________________________________________________________________ |
|
____________________________________________________________________________________ |
| Phone Number |
Date of Birth |
| |
|
| |
____________________________________________________________________________________
| Name of High School |
Graduation Date |
|
| |
|
____________________________________________________________________________________ |
| |
|
____________________________________________________________________________________ |
| |
|
COLLEGE OR VOCATIONAL SCHOOL YOU PLAN TO ATTEND |
| |
|
____________________________________________________________________________________ |
| Name of College or Vocational School |
| |
|
____________________________________________________________________________________ |
| Street Address |
| |
|
____________________________________________________________________________________ |
|
____________________________________________________________________________________ |
| Area of Study |
Expected Graduation Date |
| |
| The processing of applications and
selection of award winners is within the sole discretion of Vietnam Veterans
of America and is not subject to appeal or review. |
| |
|
____________________________________________________________________________________ |