Apply

1Applicant Information

2Sponsor Information

3Financial Information

4Awards & Recognition

5Community Service

6Extracurricular Activities

7Academic Information

8Goals & 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

County*

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Work Phone

Email*

Enter Email Confirm Email

Age*

Marital status*

Have you received this scholarship from us before?*

Yes

Is this your first time applying for this scholarship?*

Yes

The applicant is*

a currently serving member of the Arkansas National Guard.

the dependent of a actively serving member or retired member of the Arkansas National Guard.

Type*

Army

Air

Status*

AGR

Technician

Traditional Drill Status Guardsman

Unit*

Rank*

Self or sponsor participant in NGAA SSLI program?*

Do you or your sponsor participate in the State Sponsored Life Insurance Program administered by the National Guard Association of Arkansas (NGAA)? If unsure, please contact Ashley at 501-758-6422 to verify.

Yes

Association dues paid for 2025?*

Are you a life member of or have you paid your 2025 Membership Dues for either the NGAA or the Enlisted Association of the Arkansas National Guard (EAANG)? If unsure, please contact your Association to verify.

Yes

Academic Level*

I am an high school senior expecting to begin college in the Fall of 2025.

I am currently enrolled in undergraduate College and will be either a full or part time student in the fall of 2025 or spring of 2026.

I will be enrolled in a post graduate program in the fall of 2025 or the spring of 2026.

Sponsor Not Required

You are a member of the Arkansas National Guard. Members of the Arkansas National Guard are not required to have a sponsor.

Sponsor Information

Name*

First MI Last

Relationship to applicant*

Rank or last rank held*

Branch*

Army

Air

Sponsor’s current status*

Active

Retired

Deceased

2024 Association member?*

Yes

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Current Unit

Type

AGR

Technician

M-Day

Occupation*

Expected income in 2024*

Over $45k

$10k - $45k

Under $10k

Name of School*

Address*

Street Address Address Line 2 City State ZIP Code

Years attended*

Graduation Date*

GPA*

ACT/SAT Scores

ACT Composite Score:

SAT Composite Score:

2025-2026 School Year

What college do you plan to attend in the 2025-2026 school year?*

What will be your major field of study?*

500-WORD ESSAY: Please explain your life goals and how this scholarship will help you achieve this goal:*

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*

Use your mouse or touchscreen to sign your name in the box above.

Date*

MM slash DD slash YYYY