JBER Community Club Scholarships

Applicant Information

First name

Last name

Middle initial

Phone

Birhdate

Street Address

City

State

Zip Code

Complete the Sponsor Information fields that are applicable.

All applicants MUST possess a valid military identification card and will be required to show the card upon request.

Sponsor's Name

Branch of Service

Sponsor's Military Unit & Station

For applicants who are the dependent of a Department of the Army or Department of Defense Civilian:

Sponsor's Name

Organization

Position

I certify that the information contained herein is accurate to the best of my knowledge. I understand that false statements may be grounds for disqualification. I understand that the decision of the Scholarship Selection Committee is final. I further understand that if I accept a full scholarship from any other source, or an appointment to a service academy, I must forfeit an award JBER Community Club Scholarship.

Your Signature

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