2020-2021 Student Application
Alabama National Guard Educational Assistance Program
FAFSA Completion Required
NOTE: A separate application must be submitted for
each semester or quarter aid is requested.
Date Received at ACHE
Applicant Status:
Air Guard Army Guard
(Check One)
1. Name:
2. Social Security Number:
Last First Middle
3. Birth Date:
4. Cell Phone:
6. Mailing Address:
Street City State Zip
7. Certificate/Degree Program:
8. Undergraduate
Graduate
(Check One)
9. Unit of Assignment:
I certify that I meet the student eligibility requirements listed on this form, that I have never been disqualified under this program, that the information on this
application is true and correct to the best of my knowledge and belief, and that any false or willful misrepresentation will disqualify me from participation in the Alabama
National Guard Educational Assistance Program.
I understand that if I fail to satisfy eligibility requirements for participation in the program, (i.e., termination from the Guard, unsatisfactory academic performance,
or separation from the Guard within four years after receiving the last ANGEAP assistance), I will be liable for repayment of any amount received.
I also understand that once my application has been approved and I do not attend school, I could jeopardize any further entitlements to educational assistance if
I do not notify the Alabama Commission on Higher Education.
I agree that the Alabama Military Department, the institution, and the Alabama Commission on Higher Education have my permission to verify information
contained on this application.
Signature of Student
Date
SECTION II. TO BE COMPLETED BY INSTITUTION -- 2020-2021 $5,464.00 per semester; $4,098.00 per quarter
FAFSA Completion on File Yes No Transient _______ Yes ______ No
INSTITUTION
School OPEID Number
Signature of VA REP/FINANCIAL AID COORDINATOR
Date
SECTION III. TO BE COMPLETED BY STATE MILITARY DEPARTMENT
I hereby certify 1) that the applicant has completed basic training, 2) the information on this application has been verified,
and 3) the applicant meets the qualifications for participation in this program.
Signature of Education Services Officer
Date
SECTION I. TO BE COMPLETED BY APPLICANT IN BLACK INK (Please Print)
Enrollment Dates:
___/___/___ to ___/___/___
Quarter:
Fall 2020
Winter 2021
Spring 2021
Summer 2021
ANGEAP Request: Amount
$
DO NOT SUBMIT IF AMOUNT IS
LESS THAN $100.00
Hours of Enrollment:
Semes
ter:
Fall 2020
Spring 2021
Summer 2021
Alabama Resident:
______ Yes ______ No
________________
ALABAMA NATIONAL GUARD EDUCATIONAL ASSISTANCE PROGRAM
GENERAL INFORMATION
The Alabama National Guard Educational Assistance Program is a state student assistance program established by the Legislature of
the State of Alabama and is designed to provide financial assistance to Alabama National Guard members enrolled in a certificate
program at an accredited community or technical college or a degree program at an accredited postsecondary institution of higher
learning located within the State of Alabama.
STUDENT ELIGIBILITY REQUIREMENTS
To be eligible for an Alabama National Guard Educational Assistance Program award the student must be:
1) 17 years of age or over
2) Active member in good standing with the Alabama National Guard
3) Active member of a federally recognized unit of the Alabama National Guard
4) Have completed basic training
5) Pursuing the first undergraduate program
6) Enrolled in a certificate or degree program at an accredited community college or technical college within the State of
Alabama
7) Enrolled in a degree program at an accredited college or university within the State of Alabama
8) Maintain a cumulative 2.00 GPA Undergraduate; 3.00 GPA Graduate at end of each semester
9) Must have the Free Application for Federal Student Aid (FAFSA) on file
10) Must demonstrate a financial need of at least $100.00.
USE OF SOCIAL SECURITY NUMBER
Section 7(b) of the Privacy Act of 1974 (5 U.S.C. 522a) requires that when any Federal, State, or local government agency requests an
individual to disclose his/her social security account number, that individual must also be advised whether that disclosure is mandatory
or voluntary, by what statutory or other authority the number is solicited, and what uses will be made of it.
Accordingly, applicants are advised that disclosure of their social security account number (SSAN) is required as a condition for
participation in the Alabama National Guard Educational Assistance Program, in view of the practical administrative difficulties which
the Program would encounter in maintaining adequate program records without the continued use of the SSAN.
The SSAN will be used to verify the identity of the applicant and as an account number (identifier) throughout the life of the grant in
order to record necessary data accurately. As an identifier, the SSAN is used in such Program activities as: determining Program
eligibility, certifying school attendance, making and verifying grant payments, and maintaining records of grant payments.
Authority for requiring the disclosure of an applicant’s SSAN is in section 7(a)2 of the Privacy Act, which provides that an agency may
require disclosure of an individual’s SSAN as a condition for the granting of a right, benefit, or privilege provided by law.
APPLICATION MUST BE COMPLETED AND FORWARDED FROM THE SCHOOL TO ONE OF THE FOLLOWING:
ALABAMA NATIONAL GUARD
ATTN: AL-ESO
PO Box 3711 Montgomery, AL 36109-0711 (ARMY)
187
th
AFW 5187 Selma Highway Montgomery, AL 36108-4824 (AIR)
117
th
ARW(AMC) 5401 E. Lake Blvd. Birmingham, AL 35217-3545 (AIR)
WARNING
ANY PERSON WHO KNOWINGLY MAKES A FALSE STATEMENT OR A MISREPRESENTATION FOR THE PURPOSE OF
WRONGFULLY OBTAINING A GRANT HEREUNDER SHALL BE GUILTY OF A MISDEMEANOR AND, UPON CONVICTION
THEREOF, BE PUNISHED AS BY LAW PROVIDED FOR A MISDEMEANOR.
The ANGEAP is a Limited Funded Program, and submission of this application does not ensure that funds will be available
when application arrives at ACHE.
Only 10 percent of the grant funds appropriated each year is available to members at the graduate level.