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MONTGOMERY POST #79

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ELIGIBILITY;  High school students who participate in and complete either an American Legion Boys State or Auxiliary Girls State program and is a direct decendant, i.e. child, grandchild or legally adopted child of a U. S. veteran who served during a period of war.  Furnish requested information when completing this application.  Do not attach any documents or additional pages to this application, except as requested.  All other documentation or added pages will be discarded.

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Name:_____________________________________________________

Address:___________________________________________________

City:_______________________________ 

State: _______________       Zip___________

E-mail:_____________________________

Telephone: _________________________         

Date of Birth - Month_____      Day ____   Year______

I am the (state relationship)____________   of (vetean's name )

____________________________

Veteran's Address (if living)

________________City________________State______Zip___________

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who served active duty during one or more of the following periods: (Check one)

(April 6, 1917 -November 11, 1918) World War I
(December 7, 1941 - December 31, 1946) World War II
(June 25, 1950 - January 31, 1955) Korean War
(February 28, 1961 - May 7, 1975) Vietnam War
(August 24, 1982 - July 31,1984) Lebanon/Grenada
(December 20, 1989 - January 31, 1990) Operation Just Cause
(August 2, 1990 - Today)* Operation Desert Shield/Desert Storm
and Until Cessation of Hostilities.

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High School Record:  This section to be completed by  a high school official.

Number of students in high school _________
 
Number of students a applicant's class___________

Cummulative Grade Point Average (GPA)____

GPA scale is:_________ (i.e. 4 or 6 or 12 point, etc)

Expected Date of Graduation______________

Signature___________________________Date _____________

Print name & title______________________________________________

Affix school stamp or seal:

(Print page and complete application)