Veteran Caucus Scholarship Application Veteran Caucus Scholarship Application 1. Applicant's InformationName* First Last Suffix Email* Please provide a Personal physical address and Email address and NOT a School address or Email addressAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact PhoneContact Cell PhoneII. PA Program Information:Name and address of your PA Program*Program Director Name* Program PhoneRecommendation letter from the student's Academic Advisor (This is an uploaded .pdf max size 1 GB)*Accepted file types: pdf, Max. file size: 1 GB.File Name Label PDF with first name and last name (Example: john_doe_recommendation.pdf)Recommendation letter from an additional faculty member: (This is an uploaded .pdf Max Size 1 GB)*Accepted file types: pdf, Max. file size: 1 GB.File Name Label PDF with first name and last name (Example: john_doe_recommendation.pdf)III. Service Background:It is imperative that the student provide as much detail information to each section, such as, dates, time periods and names.Branch of Service: Component: Military Awards and Decorations: DD214 Please note – If the DD214 information does not match the application information, it cannot be used in the grading process. Please ensure that a minimum of name, current phone number and personal email address are added to the scanned DD-214/DD-215 that is submitted. If the student is still Active Duty or still in the Guard or Reserves, they must send a certification letter from their current commanding officer to verify their status and military awards.IV. College Background:College Honors:* College Activities V. Civic Background:Civic Honors:* Civic and Community Activities:* VI. Professional Background:Professional Honors:* Professional Activities: VII. Professional StatementPlease limit to 500 words or lessThis is where the applicant can tell the Veterans Caucus why they deserve to receive a scholarship. Please include address, phone, and personal email address to this statement.Professional Statement*