Revised 06/06
I (we) hereby grant permission to have this application, tax records, high school and/or college academic records, and college financial records, pertaining to this application, reviewed by the NGASCA and/or any college listed on this form. I (we) will notify the NGASCA, in writing, of any change of address, college of attendance, financial information, etc. If an award is made, the funds will be used only for payment of necessary tuition and fees for attendance at an eligible college or university on a full or part time basis as defined by the Catalog or Registrar of the named school. Monies received will be applied to the fall semester or returned to the Auxiliary if semester is not completed.
The information submitted herewith is true and correct to the best of my knowledge, and as the applicant, I fully understand my obligation to maintain a level of academic standing and moral character that will reflect favorably upon the National Guard Association of the South Carolina Auxiliary.
SIGNATURES:
Student/Applicant: ________________________ Date: _________________________
NGASCA Sponsor: ________________________ Date: _________________________
Spouse: ________________________ Date: _________________________
If you wish to make any remarks concerning this application, you may use additional paper, if necessary.
STATEMENT OF POLICY:
To be eligible to receive financial aid, the applicant must be a member in good standing or the dependent of a member in good standing of the National Guard Association of South Carolina Auxiliary. This application will be considered confidential and will only be used by the Scholarship Committee. All requested information must be included in order for your application to be processed and it must be neatly printed or typed. Incomplete applications will not be considered.
I hereby apply for financial aid to assist in the payment of my education expenses at _________________________________________________ (institution of higher learning) for full or part time attendance during the 2007-2008 academic year.
PERSONAL INFORMATION:
Name_ ___ Social Security #
(Last) (First) (Middle)
Home Address_ __ Telephone #_ (Street/Post Office Box)
City State ____ Zip Code_ _____________
Date of Birth: ________________ Married: _______ Number of Children: ___________
Are you related to an active, retired or a deceased National Guardsperson? If “yes”, answer the following:
Name of Guardsperson: __________________________________________________
Length of Service: ________________ Rank______________ ETS_______________
Unit_____________________________________ Commander___________________
Check one: Guardsperson is: ______Active _______Retired ________Deceased__________
Are you an Auxiliary member or the dependent of a member? Check one.
_ Member Auxiliary Membership since (Mandatory)
_________Dependent Name of Auxiliary Member_________________
Auxiliary Membership since _______ (Mandatory)
Name and address of hometown newspaper:
EDUCATION AND EXPERIENCE(ALL APPLICANTS)
High School____________________________________________________________
City and State_____________________________ Date of Graduation:______________
Class Standing: ________________out of a class of ________________.
High School Grade Average: ___________________________________
Scholastic Aptitude Test (SAT) Scores (if applicable):
Verbal________________ Math_________________ Total_______________
HONORS AND SIGNIFICANT SCHOOL ACTIVITIES: (Limit to last four (4) years.)
Use additional paper is necessary.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
SPECIAL SKILLS, WORK EXPERIENCE, AND PERSONAL INTERESTS: (Limit to last four (4) years. Use additional paper if necessary.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
You may submit narrative explaining extenuating financial circumstances. Use additional paper if necessary.
______________________________________________________________________________________
______________________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Career or profession you intend to follow:______________________________________
ENTERING FRESHMEN APPLICANTS ONLY (Those who have graduated within the past 5 years.)
Entering Freshmen applicants must submit a copy of their high school transcript in order to be considered. (Any exceptions must be explained fully in the remarks section at the end of this application.)
CHECK ONE: My transcript is: ______ Attached to this application (preferred).
______ Being mailed by the high school to the same
address as this application, to arrive before the
deadline of 31 January, 2007.
UPPERCLASSMEN APPLICANTS ONLY:
Inclusive dates of attendance: From______________________to __________________________
Semester Hours Completed: __________ Expected Graduation Date:_________
Grade Point Ratio: Cumulative____________ Last Semester____________
Major___________________________________ Minor ___________________________
Upperclassmen must submit a copy of their most recent college transcripts in order to be considered.
CHECK ONE: My transcript is _______Attached to the application (preferred).
_______Being mailed before the deadline of 31
January 2007.
FINANCIAL INFORMATION:
The financial information given on this application is for (check one):
_______Applicant and Spouse.
_______Applicant and Parents (If you apply as a dependent of a member.)
_______Applicant Only
_______Spouse only.
Number of household members (Head of household, spouse, and other dependents) ______________
Number of household members attending college ________________
ADJUSTED GROSS INCOME: (per attached federal income tax form(s) $______________________
(To be considered a dependent, you must submit your parents’ income and your own if you are employed.)
NON-TAXABLE INCOME: (as described below)
Social Security, VA Benefits, Child Support, Trusts, Tax-Free Bonds, Welfare, Unemployment, Non-Taxable Military Pay, Ministerial Allowances, Income Earned Out-of-State or any other income not included in adjusted gross income above.
$______________________
TOTAL INCOME: (adjusted gross income plus non-taxable income) $______________________
NOTE: Attach to this application a photocopy of the first page (front and back) of your 2004 Federal Income Tax Form 1040. This must be a true copy of the form submitted to the tax authorities.
List additional financial assistance with amount(s) that you will receive or expect to receive during the same academic year for which you are applying for this scholarship.
SCNG Tuition Assistance Program (TAP)____________________________________________________
Other_________________________________________________________________________________
Have you previously received financial assistance from the NGASC Auxiliary or the National Guard Association of South Carolina Scholarship Foundation?_________________
If “yes”, give the dates and amounts:______________________________________________
PROJECTED BUDGET FOR THE 2007-2008 ACADEMIC YEAR:
Tuition: _________________ Books: ___________________ Fees: ______________________
Commuting Costs: __________________ Other:_____________________________________
Total: __________________________
Additional Remarks:
______________________________________________________________________________________
______________________________________________________________________________________
(Use additional paper if necessary.)
FOR ADDITIONAL COPIES OF THIS APPLICATION, PLEASE CONTACT THE NGASC OFFICE AT (803)254-8456 OR 1-800-822-3235. REMEMBER: DEADLINE IS 31 JANUARY 2007.