
Name of Applicant: _______________________________________________________________
Address: ________________________________________________________________________
City, State, and Zip_____________________________________________________________
Phone Number:__________________________E-mail Address:____________________________
Date of Birth: ________________________________________________
High School Attended:_________________________________Graduation Date:_____________
Father's Full Name:__________________________________________________
Mother's Full Name:__________________________________________________
Name of Sponsor (If someone other than parent):_______________________________________
Americal Division unit to which sponsor was assigned:__________________________________
Time period sponsor was a member of the Americal Division:_____________________________
If sponsor died while on active duty with the Americal Division, please provide available details:________________________________________________________________________________________
________________________________________________________________________________________
(Use additional sheet if necessary.)
Combined annual income of both parents:_________________________________________________
Name of school you plan to attend:______________________________________________________
Address:________________________________________________________________________________
City, State, Zip:_______________________________________________________________________
Signature of Applicant:______________________________________Date:______________________
All of the following information must be included with your ADVA Scholarship Application:
The purpose of the Scholarship Fund is to provide college and vocational scholarships to the children and grandchildren, including those by adoption, of current and deceased ADVA members, provided the deceased member held good membership standing at the time of death, and to any child or adopted child of an Americal Division soldier who was killed or died while on active duty with the Division .
Scholarship awards will be granted for one year of college or vocational school, and an applicant may apply each year while in school. Awards are not made for graduate school degree programs.
Completed application forms together with all required enclosures must be sent to the Scholar Fund Chairman by U.S. Mail at the following address,
postmarked not later than 1 May of each year:
Mr. Bob Short
3839 Old Savannah Drive
Kalamazoo MI 49009
269-372-2192
Email c146thinf@aol.com.