Samsung American Legion Scholarship Application

ELIGIBILITY: High school juniors who are a direct descendant, i.e. child, grandchild, great-grandchild

or a legally adopted child, of a U.S. veteran who served during a period of war and is a delegate to either

an American Legion Boys State or American Legion Auxiliary Girls State program.  

Application must be typed or use a word processor. Do not attach any documents or additional pages

to this application, except as required.

All questions must be answered in order to be considered.

____________________________________________________________________________________
 
Name_________________________________________________________________________
 
Address _______________________________________________________________________
 
City __________________________________ State ________________ Zip _______________
 
E-mail ____________________________________
 
Telephone ( ) _______________________ Date of Birth Month ______ Day _______ Year _______
 
I am the (state relationship)___________________ of (veteran's name) ________________________
 
Veteran's address (if living)____________________________________________________________
who served on active duty during one or more of the following periods of war. Check the appropriate war period:
 
___________________________________________________________________________________
 
____ World War I - Apr. 6, 1917 - Nov. 11, 1918                     ____ Lebanon/Grenada - Aug. 24, 1982 - Jul. 31, 1984
____ World War II - Dec. 7, 1941 - Dec. 31, 1946                   ____ Panama - Dec. 20, 1989 - Jan. 31, 1990
____ Korean War - June 25, 1950 - Jan. 31, 1955                    ____ Persian Gulf War - Aug. 2, 1990 - Until cessation of hostilities
____ Vietnam War - Feb. 28, 1961 - May 7, 1975                             Includes Operations Enduring Freedom, Iraqi Freedom, and War
                                                                                                    on Terrorism
 
___________________________________________________________________________________
 
High School Record  This section is to be completed by a high school official. (May be handwritten.)
 
Number of students in high school ___________ Number of students in applicant's class ______________
 
Cumulative Grade Point Average (GPA) __________ GPA scale is ______ (i.e. 4 point, 6 point, 12 point, etc.)
 
Class Rank ___________ Expected Date of Graduation _______________
 
SAT Scores Math _______ Verbal _______ Written _______ Total _______ and/or ACT Score _________
 
 
 
____________________________________                   ___________________________________
   Signature                                                                                    Type/Print name and title
                                                                                                         Affix school stanp or seal
 
 
For Official Use Only

GPA______    Class Rank______    SAT/ACT Score______     Activities ______   Honors & Awards ______

 

Descendant of Korean War Veteran _______  Community Service/Volunteerism _______    Total ________

___________________________________________________________________________________

Father's Name and occupation:

 

 

Mother's Name and occupation:

 

 

List of brothers and/or sisters and their ages.

NAME                                                                    AGE

 

 

 

 

 

 

 

 

Please indicate your job or work experiences.   List dates "from - to."  List number of hours per week/month and total hours.  List any responsibilities/accomplishments.

 

 

 

 

 

 

 

 

 

Describe your most significant or accomplishment and explain its value to your life.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Explain your long-range goals for school and career.  Describe what specific skills and personal values you want to foster in yourself to achieve these ends. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe any circumstances that may affect your familys ability to provide for your college education.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Describe any community service /volunteer work in which you have been involved during your high
school career (grades nine through eleven). If your community service/volunteer work was required, explain why.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Activities - List the school clubs, teams, and organizations you belonged to or participated in during grades nine (9) through eleven (11).
List the dates you participated (mm/yy), number of hours per week or month, total hours and accomplishments or honors earned.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
List the non-school clubs, teams, and organizations you belonged to or participated in during grades nine (9)
through eleven (11). List the dates you participated (mm/yy), number of hours per week or month, total hours and accomplishments or honors earned.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
State/National Awards and Honors. List up to five state or national awards/honors you have received. (For example, All-State Choir, National Merit Semifinalist.)
 
1.
 
2.
 
3.
 
4.
 
5.
 
School/Local Awards and Honors. List up to five school or local awards/honors you have received. (For
example, DAR Good Citizen Award, 4-H, Scholastic Athlete Award.) The fact that you are submitting this
application presumes that you have participated in a Boys State or Girls State Program. Do not include that
program as a School/Local Award or Honor.
 
1.
 
2
.
3.
 
4.
 
5.
 
 
What do you like to do for fun and/or enjoyment?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION
If I am selected as a scholarship winner and in consideration thereof, I understand, agree and hereby grant permission to The American Legion and Samsung Group to use my likeness and name in announcing and promoting this scholarship program. I understand and agree that the National Selection Committee is solely responsible for the selection of the scholarship winners and its decision is final. I have completed the scholarship application and have attached the veterans verification document. I grant permission to the school of higher education I attend to release information concerning my enrollment status, academic standing and financial need to The American Legion for use in administering my scholarship award. In submitting this application, I certify that the information is complete and accurate to the best of my knowledge.
I understand and agree that falsification of information will result in termination of the Samsung American Legion Scholarship.
 
 
 
_________________________________________ Date _________________
Student Signature
 
 
If my child is selected as a scholarship winner and in consideration thereof, I understand, agree and hereby grant
permission to The American Legion and Samsung Group to use my child's likeness and name in announcing and
promoting this scholarship program. I understand and agree that the National Selection Committee is solely responsible
for the selection of the scholarship winners and its decision is final. My child has completed the scholarship application
and has attached the veterans verification document. I grant permission to the school of higher education my child attends
to release information concerning my child's enrollment status, academic standing and financial need to The American
Legion for use in administering my child's scholarship award. In submitting this application, I certify that the information
is complete and accurate to the best of my knowledge. I understand and agree that falsification of information will result
in termination of the Samsung American Legion Scholarship.
 
 
________________________________ Date ____________
Parent's Signature
 
 
Note: 1. If a legal guardian signs this certification, all personal pronouns shall be deemed to be read as if singular and not plural and 2. A copy of the appointment of
the legal guardian signing must be attached.
 
 
Attach to this application documentation showing veteran served on active duty during eligibility periods(s) indicated
on front of this application.   SUBMIT COMPLETED APPLICATION TO YOUR BOYS/GIRLS STATE PROGRAM OFFICIALS AS DIRECTED.
 
 
The Rules and Conditions under which the scholarships are awarded and the program administered shall be:
1. Those eligible to apply for the scholarships shall be students who are direct descendants of U.S. wartime veterans who served during one or more of the
periods of war officially designated as such by the United States government: World War I - April 6, 1917 - November 11, 1918; World War II - December 7, 1941 -
December 31, 1946; Korean War - June 25, 1950 - January 31, 1955; Vietnam War - February 28, 1961 - May 7, 1975; Lebanon and Grenada - August 24, 1982 - July
31, 1984; Panama - December 20, 1989 - January 31, 1990 and Persian Gulf War - August 2, 1990 to cessation of hostilities as determined by the United States
government. Information that may assist you in obtaining proper military documentation is located on page 8/8 of this application.
2. The annual Samsung American Legion Scholarship applicant pool will include one representative from each American Legion Boys State program; one
representative from each American Legion Auxiliary Girls State program; and one high school junior boy and one high school junior girl from the Department of
Hawaii. From this pool of state finalists scholarship recipients will be selected by the National Committee on Education. These scholarship recipients will be known
as Samsung American Legion Scholars.
3. Samsung American Legion Scholars will have six (6) years to utilize their scholarship funds from the date of graduation from high school, excluding any
time spent on active military duty or church mission. Remaining State Finalists will have two (2) years to utilize their scholarship funds from the date of graduation
from high school, excluding any time spent on active military duty or church mission.
4. The Samsung American Legion Scholarship is for undergraduate study at an accredited U.S. college or university. The recipients must be enrolled as a fulltime
student to request his/her scholarship funds. The number and amount of the scholarship awards will be determined by the income derived from the Samsung
American Legion Scholarship Trust.
5. The scholarship funds may only be used to defray necessary costs of the students education (i.e. tuition, room & board, books & supplies, fees and
equipment required by the students particular course of study or school). A student may request any amount up to and including his/her total scholarship award at one
time. The amount of the fund request cannot exceed the cost of education. Students may make only one (1) request for funds per semester or quarter.
6. Scholarship checks will be issued upon receipt of a Request for Funds form. It is the normal and customary procedure that the scholarship check will be a
two-party check made payable to the student and school. Students who have not requested their award will receive one (1) written notice reminding them of their
award and the time limits remaining to receive their award. State finalists will receive their notice prior to their last year of eligibility. Samsung American Legion
Scholars will receive their notice with two years of eligibility remaining.
7. Unused scholarship funds will be returned to the scholarship trust fund for future awards.
 
 
Obtaining proof of military service:
 
Documentation may include, but is not limited to copies of, Department of Defense documents, Department of the Army
documents, Department of the Navy documents, Department of the Air Force documents, Department of Veterans Affairs
documents (federal or state), American Legion documents, Obituaries, and entries in a family Bible or Holy Scriptures.
 
The following locations may be of assistance.
 
Many certificates of discharge prior to 1979 do not appear to be official documents as many were typed onto a sheet of
paper. If you are unsure if it is an official document, please ask your American Legion service officer. Department
Service Officers are listed by state at www.legion.org/serviceofficer or download The American Legion Claims Coach
Mobile App through Google Play or ITunes App Store.
 
The National Archives and Records Administration: www.archives.gov/evetrecs
 
The County Clerk and Recorders Office where the veteran resided.
 
The funeral home may have kept a copy if military honors were provided.
 
Monument company if VA headstone or marker was ordered.
 
If the veteran had utilized a VA Home Loan there may be a copy of the DD214 with the title documentation.
 
Veterans who have signed up for EBENEFITS through the Veterans Administration may be able to obtain a printable
copy. www.ebenefits.va.gov
 
The State Director of Veterans Affairs may have received a copy of the veterans DD214 at the time of discharge from
military service. This will be specific to the state in which the veterans home of record.
 

 

 

 

 

 

 

 

 

 

 

 

 

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