NAVY DIVERS ASSOCIATION, INC

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NAVY DIVERS ASSOCIATION, INC Scholarship Chairperson 3804 Wildwood Road San Diego, CA 92107-3750 NAVY DIVERS ASSOCIATION, INC SCHOLARSHIP APPLICATION -- FOR 2018 PLEASE READ THIS APPLICATION CAREFULLY AND COMPLETELY The entries on this application and associated documents must be COMPLETE, ACCURATE, and LEGIBLE. Before submitting this application, review the application for completeness. Verify that all blocks are filled in correctly and all attachments are included. Incomplete blocks or failure to complete any block could be reason for refusal by the NDA Scholarship Committee to consider the application. The Navy Divers Association, Inc. (NDA) is concerned that the potential of the dependent sons, daughters, grandchildren and great grandchildren of United States Navy Divers may not be realized due to financial constraints. We believe that all young people who are qualified for admittance to an accredited college or vocational institute should be financially able to attend that school which would best serve their purpose. To delay or forego higher education because of the severe financial strain it would impose upon the parent(s) or legal guardian would be unfortunate. It is with these thoughts in mind, that the NDA has made available a scholarship program for the qualified dependent sons, daughters, grandchildren and great grandchildren of its members, both living and deceased. Enrolling in college or vocational school should be a finalizing decision in your career choice, a very important and worthy goal. Education in the private sector creates a monetary struggle to meet the expense of each term. NDA scholarships will be awarded annually. Applications for scholarships must be made annually and the scholarship awarded is intended for the one year for which the application was received. Any individual desiring a scholarship for ensuing years must reapply for the scholarship using the NDA Scholarship Application and following the procedures as dictated in both this letter and the NDA Scholarship Application. The dollar amount of the scholarship is completely dependent on the number of successful scholarships awarded and the monies available for distribution from the NDA Scholarship Fund. Applicants must be either (1) a high school senior, (2) a graduate of an accredited high school, or (3) be in possession of a General Educational Development (GED) certificate and be under the age of 23. The applicant must verify evidence of (1) scholastic proficiency, (2) extra-curricular activities (high school only), and (3) awards granted in school and/or the community. Applicants must also show financial need for this scholarship. At least two

NDA Scholarship Application -- 2018 Submission Information Page 2 of 3 letters of reference or recommendation should be enclosed, of which neither is from the applicant s parent, grandparent or Guidance Counselor. It is with this knowledge and concern the NDA has involved itself as being a scholarship fund endower for the sons, daughters, grandchildren and great grandchildren of the membership, both living and deceased. Applications for scholarships will be made available annually. Completed applications must be forwarded to the Scholarship Committee POSTMARKED PRIOR to the closing date of 31 March. All applications MUST be accompanied with the following information and/or attachments: a. An official high school transcript or official transcript of all college semesters completed. (Transcripts may be forwarded if not received before application deadline. However, all transcripts must be received by the NDA prior to July 1 of the year of scholarship award). b. At least two references/recommendations, c. A copy of the letter of acceptance to an accredited college/institution of higher learning (Letter may be forwarded if not received before application deadline but must be received by the NDA prior to July 1). d. An essay of 400 words or less detailing why he/she is deserving of this Navy Divers Association, Inc. Scholarship. Essays must include the applicants ideas as to what he/she is planning regarding his/her future and a life plan on making the world a better place. If possible, the essay should be prepared in a printed manner to facilitate ease of reading by the Scholarship Committee. e. Verification of sponsor s successful completion of a formal course in Navy Diving. This can be substantiated by furnishing a copy of a graduation certificate, a copy of the DD214 or some other verifiable document. Ensure the complete Social Security Account Number is NOT visible. SCHOLARSHIP INFORMATION The information submitted will be filed in strict confidence available only to the NDA Scholarship Committee in compliance with the Privacy Act of 1974, Public Law 93-380. Eligibility, as defined, is an individual under age 23, and be the son, daughter, grandchild or great grandchild (including legally adopted and step-children) of a living member of the NDA in good standing. In the case of deceased members, the member must have been in good standing at the time of his/her death. It is the responsibility of each student to take the necessary steps to gain admission to the college/university or other institution he/she desires to attend. This includes the taking of the College Board exams, if applicable. The entries on the application must be COMPLETE, ACCURATE, and LEGIBLE. Before submitting this application, review the application for completeness. Verify that all blocks are filled in correctly and all attachments are included. Incomplete blocks or failure to complete any block could be reason for refusal by the NDA Scholarship Committee. The sponsor, as stated in this application, refers to the parent, stepparent, grandparent, great grandparent or legal guardian through whose Military Diving Service your eligibility is claimed.

NDA Scholarship Application -- 2018 Submission Information Page 3 of 3 Please ensure all complete Social Security Account numbers have been redacted on all documents and correspondence you send to the NDA Scholarship Committee. Scholarship monies, upon favorable review, will be awarded to those successful scholarship applicants who have been accepted and do enroll in an approved and accredited institution of higher learning. Evidence of this, in the form of a copy of student registration indicating the program and classes, must be forwarded annually to the NDA Scholarship Chairperson no later than 15 April of the year the applicant is registered to attend an approved and accredited institution of higher learning. Awards to the successful applicants will be announced in the month of May by mail each year and again at the NDA bi-annual meeting for the current and previous year awards. The monetary award, in the form of a check drawn on the NDA Scholarship Fund, will be mailed to the successful applicants annually during the month of July. Send for application and remit all correspondence to Scholarship Chairperson: Navy Divers Association, Inc. 3804 Wildwood Road San Diego, CA 92107-3750 Questions concerning the scholarship program may be directed to any scholarship committee member via the above address. Sincerely, Scholarship Committee Chairperson Encl: (1) NDA Scholarship Application

Part I APPLICANT INFORMATION -- 2018 Full Name: Male/Female (Last, First, Middle) Date of Birth: Marital Status: SSAN: (Day, Mo., Yr xxxx) (S/M/D) (Last 4) Permanent Address: (Street/City/State/Zip Code) Email Address: Phone: (xxx-xxx-xxxx) Part II SPONSOR INFORMATION (Parent, Step Parent, Grandparent or Guardian whose diving service qualifies applicant) Sponsor s Name: Relationship Address: Phone: Email Address: Date Diving Duty Began: Diver Initial Qualification Date: If Active - Name and address of current duty station or Reserve Unit or Date of Discharge / Retirement Part III EDUCATION Name/Address of High School Dates Attended Graduation Date/Major Attending or Graduated Name/Address of College(s) Dates Attended Graduation Date/Major Accredited Institution(s) Attending Name/Address of College(s) Dates Attended Graduation Date/Major Accredited Institution(s) to Which Applied

NDA Scholarship Application -- 2018 Applicant Information Page 2 of 3 Part III EXTRACURRICULAR ACTIVITIES AND AWARDS (SCHOLASTIC AND COMMUNITY RELATED) -- (Continue on Additional Sheet If Needed) Part IV SCHOOL TRANSCRIPT INFORMATION Attach certified copies of all pertinent transcripts from previous academic achievement. Please include class ranking and class size. A school counselor, advisor or teacher that may be considered beneficial to student s application may use the space provided below for any remarks, recommendations, etc.

Scholarship Application -- 2018 Applicant Information Page 3 of 3 Part VI ESSAY The applicant must tell why, in 400 words or less, he/she is deserving of this Scholarship. Emphasis must be placed on the applicant s ideas on making the world a better place in which to live and his/her contribution to this plan. (Additional sheet(s) should be used and attached). The appropriate representative from the student s current high school / accredited school of higher education is requested to review this form, attach a copy of the student s official transcript, including grades achieved on or before March 31, and forward to: Navy Divers Association, Inc. Scholarship Committee 3804 Wildwood Road San Diego, CA 92107-3750 Signature of Applicant and Date -- REQUIRED Signature of Verifying Representative and Date -- REQUIRED