Afghanistan and Iraq War Veterans Scholarship Application & Disabled War Veterans Scholarship Application


Afghanistan and Iraq War Veterans Scholarship Application & Disabled War Veterans Scholarship Application


Applicant Personal Information
 
* Indicates a Required Field
 
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Title: Mr., Mrs., Ms., or Rank  
 
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First Name  
 
 
Middle Name  
 
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Last Name  
 
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What is your current military status?  
 
Active Duty 
Veteran 
Reserves 
National Guard 
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Branch of Service?  
 
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Are you disabled as a result of Enduring Freedom Afghanistan and/or Iraqi Freedom combat operations (2003-Present)?  
 
Yes No 
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Please describe your military operations experience in either Enduring Freedom Afghanistan and/or Iraqi Freedom (2003-Present), including background on any disabilities incurred in combat. Also include dates of service. (NOTE: Answer must not exceed 4,000 characters. If longer, please submit separately.)
 
 
Ethnic Heritage  
 
 





This application will provide the Scholarship Selection Committee with an understanding of your experiences and eligibility for this scholarship. The more information you provide, the greater their ability to evaluate your qualification. Ethnic Heritage is only being collected for statistical purposes only and it will not be provided the scholarship committee. All information submitted in this application will remain confidential.

* PLEASE NOTE: All responses cannot exceed 4,000 text characters for each text box field. If needed, please send document(s) separately in electronic pdf format to edfoundation@afcea.org to be received by the deadline date.
 
Contact Information
Please give us your address and contact information for the Fall'13 semester. NOTE: AFCEA communicates primarily by e-mail - please give us your BEST contact information.
* Indicates a Required Field
 
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Current Mailing Address Line 1 Please provide current mailing address
 
 
Current Mailing Address Line 2  
 
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Current Mailing Address City  
 
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Current Mailing Address State  
 
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Current Mailing Address Zip Code  
 
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E-mail * * AFCEA communicates primarily by e-mail - please give us your BEST contact information.
 
 
Alternate E-mail  
 
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Daytime/Cell Phone Number * * This is the best way to reach you during working hours if e-mail is unsuccessful.
 
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Alternate Phone Number  
 
 
Current College Information
 
* Indicates a Required Field
 
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Name of 4-year College or University  
 
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City of College or University  
 
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State of College or University  
 
 
Academic Information
 
* Indicates a Required Field
 
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Current Undergraduate Academic Status  
 
Sophomore 
Junior 
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Major being pursued  
 
 
*If "Other" Please state major and explain how it is relates to the mission of AFCEA Educational Foundation. The AFCEA Educational Foundation is a 501(c)(3) nonprofit organization dedicated to providing educational incentives, opportunities and assistance for people engaged in science, technology, engineering and mathematics (STEM) disciplines focused on information technology, cybersecurity, telecommunications and electronics supporting the defense, homeland security and intelligence communities.  
 
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Cumulative GPA:  
 
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Do you take classes online or through a distance-learning program?  
 
Yes No 
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Degree expected
If dual degree, please indicate
 
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Intended Year of Graduation STUDENTS-If your expected graduation date is in the current year, you are ineligible to apply if senior
 
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Please list placement on Dean's List or other recognized honor roll including total number of semesters earned. (College only)
 
 
Work Experiences, Personal and Career Goals
 
* Indicates a Required Field
 
 
AFCEA Educational Foundation Mission Statement

The AFCEA Educational Foundation is a 501(c)(3) nonprofit organization dedicated to providing educational incentives, opportunities and assistance for people in government, military, and industry as well as aspiring students engaged in science, technology, engineering, and mathematics (STEM) disciplines focused on information technology, cybersecurity, telecommunications and electronics supporting the defense, homeland security and intelligence communities.

 
   
*
Please provide a brief synopsis of your relevant work experience (including military assignments) and brief personal statement of future career goals upon graduation. Please explain how your academic and career goals align to the mission of AFCEA Educational Foundation.
(see Mission Statement above)
 
 
Extra-Curricular Activities (Current or recent only)
 
* Indicates a Required Field
 
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Please list extra-curricular activities (athletics, clubs, etc.), memberships in professional associations, and/or volunteer work with any civic, church or other organizations. Include names, dates and leadership positions held.
(College only)
(NOTE: Answer must not exceed 4,000 characters. If longer, please send separately in electronic pdf format.)
 
 
Statement of Financial Need
 
* Indicates a Required Field
 
*
After demonstrated academic achievement and leadership potential, financial need is important to the Foundation's Scholarship Selection Committee. Provide a brief financial overview and explain any special need for educational financial assistance necessary for completing your degree program (AFCEA Educational Foundation scholarships can be used to assist with tuition, mandatory fees, lab fees, and fees associated with obtaining your degree).
(NOTE: Answer must not exceed 4,000 characters. If longer, please submit separately.)
 
 





This application will provide the Gravely Grant Selection Committee with an understanding of your STEM program /project for this grant. The more information you provide, the greater their ability to evaluate your program. Ethnic Heritage is only being collected for statistical purposes only and it will not be used for selection purposes. All information submitted in this application will remain confidential.

* PLEASE NOTE: All responses cannot exceed 4,000 text characters for each text box field. If needed, please send document(s) separately in electronic pdf format to edfoundation@afcea.org to be received by the deadline date.
 
   
 
NOTE: ALL SUPPORTING MATERIALS (ESPECIALLY TRANSCRIPTS) MUST BE AS CURRENT AS POSSIBLE.  
   
 
Transcripts
 
* Indicates a Required Field
 
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Do your official college transcripts show courses currently in progress?  
 
Yes No 
 

If NO or you are not sure, please list course(s) in which you are currently enrolled.
 
 
 
Letters of Recommendation
*It is your responsibility to ensure that reference letters are submitted by November 15.

NOTE: In compliance with the Family Rights and Privacy Act of 1974, the AFCEA Educational Foundation will not release Letters of Nomination/Recommendation to any person or place. (see Checklist below)

  • Letters should be from a faculty member in your chosen major having personal knowledge of your degree program, achievements and potential.

  • One letter can be from your current employer, relevant current public service agency, or service supervisor.

    Electronic submission forms will be sent to endorsers based on information given in this application. This submission form and instructions will be sent via email when application is submitted. It is your responsibility to make sure your references receive these emails. It is possible for these emails to be caught in spam filters, and in that case, letters may be printed on letterhead, signed, and sent to edfoundation@afcea.org as a PDF. They may be addressed to:
    Dr. Vincent W. Patton
    Executive Director
    AFCEA Educational Foundation
    4400 Fair Lakes Court
    Fairfax, VA 22033

  • * Indicates a Required Field
     
     


    Provide names and email addresses of the required sources for two letters of recommendation from current or recent faculty members or current employer supervisor and/or commander if active duty (REQUIRED).

    E-mails will be sent to these individuals along with instructions on electronic submission once you complete this application.

    Letter of Recomendation Important Notice

    IT IS YOUR RESPONSIBILITY TO ENSURE
    YOUR ENDORSERS RECEIVE THIS E-MAIL.

    NOTE: Some emails go to SPAM/JUNK MAIL - please contact your reference to make sure they received the email so that letters are submitted by the deadline. Ask them to check their SPAM/JUNK MAIL on the word AFCEA. Your application is not complete until all letters and your official transcript have been received. There is a link in the confirmation email where you can check to see what documentation has been submitted.



     
       
    *
    Name of Reference #1  
     
    *
    E-mail address of Reference #1  
     
    *
    Please retype email address of Reference #1  
     
    *
    Name of Reference #2  
     
    *
    E-mail address of Reference #2  
     
    *
    Please retype email address of Reference #2  
     
     
    Name of Reference #3  
     
     
    E-mail address of Reference #3  
     
     
    Please retype email address of Reference #3  
     
     





    Before you proceed, read carefully.
     
       
     
    Application Requirements Checklist
     
     
    1. Transcripts of all undergraduate coursework (must be issued by Registrar's Office). NOTE - electronic submissions preferred to email: edfoundation@afcea.org

    If electronic submission is not possible, please send official document to AFCEA Educational Foundation, 4400 Fair Lakes Court, Fairfax, VA 22033 to arrive by the deadline date. It can be a student-issued copy, but must have Registrar's seal or signature.
     
       
     

    2. At least two letters of recommendation - one from current or recent faculty/commander if active duty and one from your supervisor if working in your field, otherwise second faculty letter.
     
       
     

    Copy of Certificate of Service or Discharge Form DD214. Paperwork submitted must show service in Enduring Freedom Afghanistan or Iraqi Freedom 2003 to Present - Send in pdf or jpg format to edfoundation@afcea.org
    PLEASE DO NOT SEND FORMS WITH YOUR SSN ON THEM!
       
     
    Supporting documents also must be received by the deadline date of November 15th - electronic submission of all required materials is preferred, sent to email: edfoundation@afcea.org  
       
     
    If you have additional materials to submit with your application, please forward them by e-mail to the above contact, preferably in pdf or jpg format with your name and scholarship you are applying for clearly stated.

    For questions about submitting transcripts, letters of recommendation or additional materials please contact:

    AFCEA Educational Foundation
    4400 Fair Lakes Court, Fairfax, VA 22033
    Phone: (703) 631-6147
    Email: edfoundation@afcea.org  
       
     
    HOW DID YOU HEAR ABOUT US
     
    * Indicates a Required Field
     
     
    How did you hear about this Scholarship?
    *
    Please select from the following:  
     
    AFCEA International 
    AFCEA Chapter 
    My College/University 
    Military.com 
    Google or other Internet Search (if yes, please indicate below) 
    Other (please indicate below) 
     
    If Google or other Internet search, please enter URL or site name. If Other, please tell us how you heard about this Scholarship.  
     
     
    Signature
     
    * Indicates a Required Field
     
    *
    By signing below, I certify that the information submitted in this application is true to the best of my knowledge
    Type full name here:
     
    *
    Date  
      (MM/DD/YYYY)
     


    Incomplete applications will not be considered.
    All required documentation, including transcripts and letters of recommendation must be received by the deadline date.


    Click "Submit" if your application form is complete.
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    Use the "Save" button to return later and complete the application once additional documentation is ready.
     
       

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