Education. Date of discharge (if applicable) [Required] Total number of service years. [Required] Total years and months active duty

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1 Veteran Scholarships Application Basic Information [Required] Contact Information - must be digits long and may include only numbers, hyphens, and spaces. - First name: Middle initial: Last name: address: Phone number: Address: City: State: ZIP: [Required] Cell Number - must be digits long and may include only numbers, hyphens, and spaces. Birthday Directory ID (if current/admitted student) Family (list all related dependents and ages) Service Information Branch of U.S. Armed Forces State (if National Guard) Are you: [ ] No Response [ ] Reserve [ ] Active Reserve [ ] Active [ ] Veteran [ ] Spouse/Dependent Grade Rank Date of enlistment Page 1 of 5 Veteran Scholarships Application

2 Date of discharge (if applicable) [Required] Total number of service years [Required] Total years and months active duty List of depotments and dates Top 5 distinguishing military honors received Education High School City State Date of graduation GED earned Previous college(s) / post-secondar school(s) attended College City State Date of attendance (from) Date of attendance (to) Credit hours completed Page 2 of 5 Veteran Scholarships Application

3 Degree(s) earned If you attended more than 1 college or post-seconday school, you may list them here Make sure to include the college name, city, state, your date of attendance, credit hours completed, and degrees earned. Fall 2015 Enrollment Intended major(s) or course(s) of study Degree sought [ ] No response [ ] Bachelor's [ ] Master's [ ] Post-grad / Doctorate [Required] Current UMD Student [ ] No [ ] Yes Current UMD GPA (if applicable) Credit hours completed at UMD (if applicable) Anticipated hours enrolled for Fall 2015 Expected graduation date Anticipated status for September 2015 at UMD [ ] No response [ ] Freshman [ ] Sophomore [ ] Junior [ ] Senior [ ] Master's Degree [ ] Doctoral Student Veterans/Service members Essay Question Instructions Answer the following questions to the best of your ability. Be clear and concise and provide specifics. Limit your responses to no more than 400 words per response. [Required] Explain your motivation and decision to serve in the U.S. military. How has this decision and experience changed your life and your ambitions? What is the most important lesson you learned during your training and/or service? Page 3 of 5 Veteran Scholarships Application

4 [Required] Discuss your educational and career goals. How will you incorporate your military service experience into these goals? How do you intend to continue your service to others and the community? How will you make an impact? [Required] Share any financial concerns you have as you attempt to complete your current degree at the University of Maryland. Are there extenuating circumstances that would help the Committee better understand the financial challenges you face? Required Documents UMD Transcript (if current UMD student) Resume including education, work, public service history, recognitions and awards earned I certify that all information contained in this application is accurate to the best of my knowledge. I understand that the contents of this application are subject to verification and if found untrue will result in disqualification from consideration. [Required] Applicant Signature Other The following section will not be attached to your application during review. Additionally, answers to the below questions will in no way affect your application. Hometown and State Gender [ ] Male [ ] Female Ethnicity [ ] African American [ ] American Indian or Alaskan Native [ ] Asian (including Indian subcontinent) [ ] Caucasian [ ] Hispanic / Latino [ ] Middle Eastern [ ] Native Hawaiian or Other Pacific Islander [ ] Two or more ethnicities Are you a first generation college student Page 4 of 5 Veteran Scholarships Application

5 [ ] No [ ] Yes Additional information about your family military history: Page 5 of 5 Veteran Scholarships Application

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