Jarchow-Schroeder Post 61




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.



City:_______________________________ State: _______________ Zip___________


Telephone: _________________________

Date of Birth - Month_____ Day ____ Year______

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

Veteran's Address (if living)________________City________________State______Zip___________

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.
High School Record: This section to be completed by a high scchool 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)