AEX-INSTITUTION SCHOLARSHIP APPLICATION
PERSONAL DATA:
Date
Year Applying for Scholarship
2010
2011
2012
Please select the scholarship that you are applying for below.
Note: You must be attending that institution.
Scholarship Applying For
<Select Scholarship>
Last Name
First Name
MI
Social Security (Last 4 digits)
Date of Birth
January
February
March
April
May
June
July
August
September
October
November
December
Male
Female
Address1
Address2
City
State
Zip Code
Country
Email Address
Home Phone
Cell Phone
Other Phone
Fax
MILITARY DATA:
Branch of Service
Air Force Reserve
Air National Guard
Army National Guard
Army Reserve
Coast Guard Reserve
Marine Corps Reserve
Navy Reserve
Rank
(If family member, then put relationship to Military Personnel)
Command
Command POC
Command POC Phone
Command POC Email
Duty Station Orders (Please upload your duty station orders by pressing the Browse button and selecting the file from your computer or send a copy via postal mail to AeX-Institution Scholarship, 21525 Ridgetop Circle, Suite 280, Sterling, VA 20166 or email or fax to 877.823.1407.)
Duty Station Orders
EDUCATION DATA:
Institution Currently Attending
Year Started (yyyy)
GPA
Degree Level Seeking
Associates
Bachelors
Certificate
Masters
Minor
PhD
Discipline
SUPPLEMENTARY DOCUMENTS TO APPLICATION:
1. Recommendation by an instructor (Submit by postal mail, email, fax or upload file.)
*
Instructor/Professor Recommendation Letter
2. Recommendation by an outside source (non-family member) (Submit by postal mail, email, fax or upload file.)
*
Outside Source Recommendation Letter
3. A 1-page narrative to include:
Why you should receive this scholarship
Your educational goals
Your financial needs
Community or other types of service activities involvement
Please note that if completing the application online, you must upload the 1-page narrative before submitting the application. To do so, use the Browse button below to select the appropriate file from your local computer.
*
1-Page Narrative
*
Please keep file sizes under 2MB.