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VA-ACME SCHOLARSHIP
                              APPLICATION CHECKLIST
                                      * 2010 *

Please check the boxes to ensure your scholarship application package is complete.
Incomplete packages will not be considered. All materials sent to the VA-ACME
(Virginia Advisory Council on Military Education) Scholarship program become
the property of VA-ACME and will not be returned. Packages or related
documents that are not postmarked by 18 January 2010 will not be considered.
Members of the VA-ACME Board and their families are not eligible for any of
these awards. The decisions of the VA-ACME Scholarship Panel are final.

       □    VA-ACME Scholarship Application Cover Sheet 2010

       □    Official Transcripts

       □    ONE Letter of Recommendation (Commanding Officer,
           Supervisor, or Instructor/Professor) from a person unrelated to you,
           who can attest to your motivation, character, and integrity.

       □    Evidence of Enrollment (For example—Letter of Acceptance)

       □    Essay (Each scholarship has a different topic: please ensure you
           respond to the correct one. The essay must be typed, double-spaced,
           size 12 font; not to exceed two pages.)

Mail complete application packages to:
                       VA-ACME Scholarship
                       C/o Dr. Kathy Nash
                       P.O. Box 2443
                       Chesapeake, VA 23320
Note: Only the winners will be required to provide proof of military status.
The proof will be one of the following: Leave and Earning Statement (LES),
Military ID Card, or DD-214. Please block out the Social Security Number.
For permanently disabled military, the applicant will need to provide proof of
disability from the Veteran’s Affairs, and for service member missing/killed in
action the applicant will need to provide a report of Casualty DD Form 1300.
VA-ACME SCHOLARSHIP
                              APPLICATION COVER SHEET
                                       * 2010 *

Please check the scholarship you are applying for:
       □ Active Duty, Drilling Reservist, or National Guard Member
       □ Family Member (to include Spouse or Child) of Active Duty Member
       □ Permanently Disabled Military Member, Family Member of Permanently
         Disabled Military Member, or Family Member of Service Member
         Missing/Killed in Action
       □ Veteran or Retiree of the Armed Forces residing in Virginia, including the
         National Capital Region (NCR).
Note: Please prepare separate packages if you qualify for more than one category.

Applicant Information

Full Name: ___________________________________________________________________

Mailing Address: ______________________________________________________________

______________________________________________________________________________

Home Phone: ___________________________ Cell Phone: __________________________

E-Mail Address: _______________________________________________________________

College/University: _____________________________________________________________

Select Level of Education you are Pursuing: Associate □   Baccalaureate □    Graduate □

Title of Degree you are Pursing: __________________________________________________

Approximate number of credits to complete Degree Program: _________ GPA: _________

List Degrees Already Earned: ____________________________________________________

______________________________________________________________________________

Duty Station/Address of Military Member: ________________________________________

______________________________________________________________________________

Branch of Service: _____________________________________________________________

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VA-ACME SCHOLARSHIP PROGRAM

  • 1. VA-ACME SCHOLARSHIP APPLICATION CHECKLIST * 2010 * Please check the boxes to ensure your scholarship application package is complete. Incomplete packages will not be considered. All materials sent to the VA-ACME (Virginia Advisory Council on Military Education) Scholarship program become the property of VA-ACME and will not be returned. Packages or related documents that are not postmarked by 18 January 2010 will not be considered. Members of the VA-ACME Board and their families are not eligible for any of these awards. The decisions of the VA-ACME Scholarship Panel are final. □ VA-ACME Scholarship Application Cover Sheet 2010 □ Official Transcripts □ ONE Letter of Recommendation (Commanding Officer, Supervisor, or Instructor/Professor) from a person unrelated to you, who can attest to your motivation, character, and integrity. □ Evidence of Enrollment (For example—Letter of Acceptance) □ Essay (Each scholarship has a different topic: please ensure you respond to the correct one. The essay must be typed, double-spaced, size 12 font; not to exceed two pages.) Mail complete application packages to: VA-ACME Scholarship C/o Dr. Kathy Nash P.O. Box 2443 Chesapeake, VA 23320 Note: Only the winners will be required to provide proof of military status. The proof will be one of the following: Leave and Earning Statement (LES), Military ID Card, or DD-214. Please block out the Social Security Number. For permanently disabled military, the applicant will need to provide proof of disability from the Veteran’s Affairs, and for service member missing/killed in action the applicant will need to provide a report of Casualty DD Form 1300.
  • 2. VA-ACME SCHOLARSHIP APPLICATION COVER SHEET * 2010 * Please check the scholarship you are applying for: □ Active Duty, Drilling Reservist, or National Guard Member □ Family Member (to include Spouse or Child) of Active Duty Member □ Permanently Disabled Military Member, Family Member of Permanently Disabled Military Member, or Family Member of Service Member Missing/Killed in Action □ Veteran or Retiree of the Armed Forces residing in Virginia, including the National Capital Region (NCR). Note: Please prepare separate packages if you qualify for more than one category. Applicant Information Full Name: ___________________________________________________________________ Mailing Address: ______________________________________________________________ ______________________________________________________________________________ Home Phone: ___________________________ Cell Phone: __________________________ E-Mail Address: _______________________________________________________________ College/University: _____________________________________________________________ Select Level of Education you are Pursuing: Associate □ Baccalaureate □ Graduate □ Title of Degree you are Pursing: __________________________________________________ Approximate number of credits to complete Degree Program: _________ GPA: _________ List Degrees Already Earned: ____________________________________________________ ______________________________________________________________________________ Duty Station/Address of Military Member: ________________________________________ ______________________________________________________________________________ Branch of Service: _____________________________________________________________