Apply - Arkansas National Guard Foundation

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

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Work Phone

Email*

Enter Email Confirm Email

Age*

Marital status*

Are you a current member of the Arkansas National Guard?*

Yes

No

Type*

AGR

Technician

M-Day

Unit*

Rank*

Phone*

Academic Level*

High school student expecting to attend college full-time in the fall semester.

Currently enrolled in undergraduate college and expecting to continue full or part-time in the fall semester.

Working on post-graduate degree.

Deceased Service Member

Name*

First MI Last

Relationship to applicant*

Last rank held*

Branch*

Duty Status at Death*

Active Duty

Traditional Guard/Reserve

Active Guard and Reserve (AGR)

Occupation*

Expected income in 2025*

Over $45k

$10k - $45k

Under $10k

Number of dependent children*

Estimated amount of tuition, room and board, and other fees*

List all MILITARY and CIVILIAN awards/recognition received in the military, high school, college, community or other:

You may enter up to 6 in this section. More entry spaces will appear as you type.

Award/Recognition 1

Name of Award/Recognition

Organization Presenting

Type

Number of Years

Award/Recognition 2

Name of Award/Recognition

Organization Presenting

Type

Number of Years

Award/Recognition 3

Name of Award/Recognition

Organization Presenting

Type

Number of Years

Award/Recognition 4

Name of Award/Recognition

Organization Presenting

Type

Number of Years

Award/Recognition 5

Name of Award/Recognition

Organization Presenting

Type

Number of Years

Award/Recognition 6

Name of Award/Recognition

Organization Presenting

Type

Number of Years

List all community service performed while in high school and college:

You may enter up to 6 in this section. More entry spaces will appear as you type.

Community Service 1

Organization

Activity Performed

Number of Hours

Community Service 2

Organization

Activity Performed

Number of Hours

Community Service 3

Organization

Activity Performed

Number of Hours

Community Service 4

Organization

Activity Performed

Number of Hours

Community Service 5

Organization

Activity Performed

Number of Hours

Community Service 6

Organization

Activity Performed

Number of Hours

List all extracurricular activities in which you participated while in high school and college:

You may enter up to 4 in this section. More entry spaces will appear as you type.

Extracurricular Activity 1

Organization

Office Held

Type Activity

Number of Years

Extracurricular Activity 2

Organization

Office Held

Type Activity

Number of Years

Extracurricular Activity 3

Organization

Office Held

Type Activity

Number of Years

Extracurricular Activity 4

Organization

Office Held

Type Activity

Number of Years

Current School You Attend (College, High School, etc)

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:

Briefly explain your goals and career objectives:*

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*