RBA SCHOLARSHIP APPLICATION FORM, PART 1
Name: ______________________________________DOB(ddmmyyyy):___________________
Address: _____________________________________________________________________
City: __________________________________ State: ___________ Zip: __________________
Phone: ( ) _____ - __________ Fax: ( ) _____ - __________ E-mail: _____________________
State of Permanent Residence: _______________________
Current School: _____________________________ Graduation Date: ____ / _____ / ______
Address of Institute’s Student Financial Office of the school being applied to:
Institution:___________________________________________________________________
Address:____________________________________________________________________
City:________________________________ State_____________ Zip___________________
Phone:_____________________________Email____________________________________
Essay: (use separate sheet(s) of paper to answer the following essay questions)
1. How do you qualify for this Scholarship? (include the full name, Ranger unit, year(s) of service, your
relationship to, and/or circumstances of the Ranger, alive or deceased)
2. List your leadership activities:
3. What are your future goals and how do you plan to attain them?
4. List your honors and awards received to date:
VERIFICATION: I affirm that the information included with my application is true and accurate in all
respects, and that I intend to use the funds for educational purposes. I also understand that the awarding of
funds is contingent upon my enrollment in the accredited institution listed on my application.
Signature: _________________________________________ Date: ____ / ____ / _____
APPLICATION FORM, PART 2
Attach an official copy of your last high school or college transcript.
Confirm that letters of recommendation have been, or will be sent to:
And
Scholarship awards are $1000/annually - Must reapply each year - All applications due 15 June