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Name
Last, First MI
Email
Phone Number (please use format below)
(XXX)XXX-XXXX
Preferred Contact Method
Email
Telephone Call
Text
Birthday
January
February
March
April
May
June
July
August
September
October
November
December
Sun
Mon
Tue
Wed
Thu
Fri
Sat
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
1
2
3
4
5
6
7
8
9
10
Are you a United States Citizen?
Yes
No
I am currently in:
High School
College
Academic Year
Freshman
Sophomore
Junior
Senior
Graduate Level
Street Address
City
State
AL : Alabama
AK : Alaska
AZ : Arizona
AR : Arkansas
CA : California
CO : Colorado
CT : Connecticut
DE : Delaware
FL : Florida
GA : Georgia
HI : Hawaii
ID : Idaho
IL : Illinois
IN : Indiana
IA : Iowa
KS : Kansas
KY : Kentucky
LA : Louisiana
ME : Maine
MD : Maryland
MA : Massachusetts
MI : Michigan
MN : Minnesota
MS : Mississippi
MO : Missouri
MT : Montana
NE : Nebraska
NV : Nevada
NH : New Hampshire
NJ : New Jersey
NM : New Mexico
NY : New York
NC : North Carolina
ND : North Dakota
OH : Ohio
OK : Oklahoma
OR : Oregon
PA : Pennsylvania
RI : Rhode Island
SC : South Carolina
SD : South Dakota
TN : Tennessee
TX : Texas
UT : Utah
VT : Vermont
VA : Virginia
WA : Washington
WV : West Virginia
WI : Wisconsin
WY : Wyoming
Zip Code
GPA
College Major or Interest
Additional Comments
*
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What are you interested in learning about? Select all that apply
National High School Scholarship (HS Seniors and Juniors)
On-Campus Scholarships
Day in the Life of a Cadet
Army National Guard / Reserve Minuteman Scholarships
Army Green to Gold (Active Duty Only)
Which Classes to Register For
Lateral Entry Options (Current College Sophomores or Students with 2 years remaining in college)
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