Apply

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*

Is this your first time applying for the Scholarship?*

Yes

No

The applicant is*

a currently serving member of the Arkansas National Guard.

an Enlisted member of the Arkansas National Guard in the Grade of E-7 or below.

Type*

Army

Air

Status*

AGR

Technician

Traditional Drill Status Guardsman

Unit*

Rank*

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

No

Academic Level*

I am an high school senior expecting to begin Vocational-Technical School in the Fall of 2025.

High School Graduate and will be either a full or part time student in the fall of 2025 or spring of 2026.

Occupation*

Gross Income from your 2023 Tax Return

Expected gross income in 2024*

Over $45k

$10k - $45k

Under $10k

Primary Source of Income*

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:

2025-2026 School Year

What Vocational-Technical School do you plan to attend in the 2025-2026 school year?*

What will be your major field of study?*

Provide a 500 word essay on how this scholarship will help you member achieve your career goals*

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*

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