ARNG Scholarship Application
Name: _______________________________ Student ID: ______________ Date of App: _________
Military Background
Pay Grade: _
___________________ BASD: _________________ ETS Date: __________________
Date C
ompleted BCT: ______________________ Date Completed AIT: _____________________
MOS: _____________
Educational Information
Liberty
Degree Accepted In: _____________________________________________________________
Requested
Start Date: _______________ Anticipated Graduation Date: ______________
Current GPA (students over 12 months at Liberty): ________________
National Guard Requirements
Date La
st APFT: ______________ APFT Score: _________ Passed: YES NO
Height:
__________ Weight: _________ Passed Body Fat/Tape (if needed): YES NO
ARNG Unit: __________________________ Company POC: _________________________
Date of
Last Drill: _____________________ Good Standing with Drills: YES NO
GoArm
yEd SOU signed and submitted: YES NO
Liberty University Requirements
FAFSA Dat
e completed: _______________ Verification Required: YES NO
Military Ve
rification documents submitted to MAO: YES NO
Liberty University Military Affairs Office
1971 University Blvd., Lynchburg, VA 24515| Email: luomilitary@liberty.edu | Fax: (434) 455-1287
Updated: 03 January 2020 Version 2.3
Disclaimer / Disqualifiers
The ARNG scholars
hip is offered in partnership with the Virginia ARNG. This is not a federal or state
entitlement but a Liberty University offered and solely funded scholarship. Liberty University and/or the
Virginia ARNG may terminate this scholarship program at any time with a 30-day written notice to
participating partners (not necessarily to the students receiving the scholarship).
I understand th
at it is my responsibility to remain eligible for this scholarship and that any time that I fail
to meet the minimum eligibility requirements my scholarship may be revoked without notice. I pledge
to remain in compliance with the following eligibility requirements:
Remain in Army compliance for physical fitness to include passing my APFT and
height/weight.
Remain in good standing with my National Guard unit and in compliance with monthly and
annual drill requirements.
Meet all military obligations, training, deployments, etc.
Submit my annual Statement of Understanding (SOU) required for federal tuition assistance.
Successfully complete all of my courses, remaining in good academic standing with Liberty
University.
Must remain in compliance with all ethical / moral character expectations; honor and/or
character violations may result in immediate removal of scholarship award.
Proactively report any changes in my status that may affect my eligibility for this
scholarship.
Complete Financial Check-In in a timely manner.
Must request and use all Federal (GoArmyEd) and State TA I am eligible to receive each semester
I understand all criteria to qualify for, receive, and remain eligible for the ARNG Scholarship. I will honor
my part of this agreement.
______________________________________
Printed Name
______________________________________
Signature
______________________________________
Date
Application Deadlines: Fall semester - 1 Jul 2020 / Spring Semester - 1 Nov 2020
Submit your completed application to: dustin.w.haislip.mil@mail.mil
Liberty University Military Affairs Office
1971 University Blvd., Lynchburg, VA 24515| Email: luomilitary@liberty.edu | Fax: (434) 455-1287
Updated: 03 January 2020 Version 2.3
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