Hampton Roads American Logistics Application


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Scholarship Application

First Name

Last Name

Date of birth (mm/dd/yyyy)

House Number and Street Address

City

State

Zip

Phone Number

Application must be the child of a parent with an occupation in the Armed Forces, Reserves, Military Resale or American Logistics Association. Please check any of the below categories that apply

Mother	Father
	Active,Retired or Veteran in the US Armed Forces. If yes, Highest grade:
	Inactive-/active-duty or retired Reserves
	Military Resale Systems (NEXCOM, AAFES, MCX, CGX, or DeCA)
	Member of American Logistics Association.

Please provide the number of siblings you have:

ACADEMIC INFORMAITON

Name of High School

High School Phone Number

High School Street Address

City

State

Zip

	SAT Scores	Class Rank (format # out of #)	Intended College(s)
Math:
Write:		Overall GPA
Read:

HIGH SCHOOL EXTRACURRICULAR ACTIVITIES (INCLUDE GRADE LEVEL)

Example: Varsity Basketball (10th, 11th, 12th); SCA President (12th)

HONORS & AWARDS

May include honors and awards for any academic, atheltic, music, arts, community, etc.

COMMUNITY & VOLUNTEER EXPERIENCE (INCLUDE DATE RANGE)

Example: Boys and Girls Club Volunteer (April 2010 - May 2011); Relay for Life Team Leader (December 2011-May 2012)

WORK EXPERIENCE

May include honors and awards for any academic, atheltic, music, arts, community, etc.

Employment Dates

Position Held

Employer

Employment Dates

Position Held

Employer

Employment Dates

Position Held

Employer

Employment Dates

Position Held

Employer

Provide a brief narrative explaining what the Commissary and Exchange have meant to you and your family's quality of life?

What will receiving the 2024 HRALA Scholarship mean to you?

Please tell us about the hero in your life.

Please review your application, then click Submit. Once you click submit, you will not be able to revise your application. By submitting this application you are electronically certifying that the information is accurate to the best of your knowledge.

Thank you for your application.

Technical Problems or Questions with This Form, Email Application@HRALAScholarship.com