Pillars of Strength Application

* Required Field

Section 1: Applicant/Caregiver Information

First Name * * Required

Please provide your first name.

Middle Initial

Last Name * * Required

Please provide your last name.

(include suffix if applicable)

Street Address * * Required

Please enter your street address.

City * * Required

Please provide your city.

State * * Required

Please provide your state.

Zip Code * * Required

Please provide your zip code.

Is your mailing address the same as your street address? Yes No

Mailing Address * * Required

Please provide your Mailing address.

City * * Required

Please provide your city.

State * * Required

Please provide your state.

Zip Code * * Required

Please provide your zip code.

Phone *Required

Please enter a valid phone number

E-mail Address * * Required

Please provide your e-mail address.

Verify E-mail Address * * Required

Please double check your email.

Please re-enter your e-mail address.

Relationship to Recovering Servicemember/Veteran * * Required

(description of applicant/caregiver)

Please enter your relationship to recovering servicemember or veteran.

Section 2: Recovering Servicemember/Veteran Information

First Name * * Required

Please provide your first name.

Middle Initial

Last Name * * Required

Please provide your last name.

(include suffix if applicable)

Current Military Status * * Required

This field is required.

Military Affiliation * * Required

This field is required.

Other Affiliation

Section 3: Applicant/Caregiver Education Information

Have you previously attended UMGC? * Yes No

This field is required.

Have you previously attended UMGC? * Stateside Europe Asia

(check all that apply)

UMGC Student ID Number (if known)

High School Education History

Name of High School * * Required

This field is required.

(indicate if you received your GED instead)

City * * Required

This field is required.

State * * Required

This field is required.

Date of Graduation * * Required

This field is required.

College/Postsecondary Education History

Please list all previous institutions you attended (up to 3 most recent).

Please note: Your eligibility for financial aid may be affected if your incoming GPA is below 2.0.

Name of Institution

Credits Earned

Degree Awarded (if applicable)

Name of Institution

Credits Earned

Degree Awarded (if applicable)

Name of Institution

Credits Earned

Degree Awarded (if applicable)

Please list additional institutions here

(Name of Institution(s), Credits Earned, Degree Awarded (If applicable)

UMGC Education Interests

Degree of Interest* * Required

This field is required.

Academic Area of Interest

Expected UMGC Division

(check all that apply)

Expected Graduation Term and Year * * Required

This field is required

(for example, spring 2023)

Acknowledgements

I hereby authorize University of Maryland Global Campus, as required by the Family Educational Rights and Privacy Act (FERPA), to release any information to aid in the determination of my scholarship eligibility. I give UMGC permission to provide any official or unofficial documents related to my scholarship eligibility and award(s) or academic status, including renewal eligibility.

Agree to Terms * I Agree

This field is required.

I acknowledge that the information given above is true and correct. In addition, I agree that if I am selected for the Pillars of Strength Scholarship Program, I agree to the terms and conditions of the scholarship, and I understand that I will be expected to participate in activities to help promote the scholarship. I understand that failure to comply with any of these terms may revoke my eligibility for this scholarship.

Agree to Terms * I Agree

This field is required.

I acknowledge I am not in default from Title IV student loans.

Agree to Terms * I Agree

This field is required.

By submitting this form, you acknowledge that you intend to sign this form electronically and that your electronic signature is the equivalent of a handwritten signature, with all the same legal and binding effect. You are giving your express written consent without obligation for �Ҹ�� to contact you regarding our educational programs and services using e-mail, phone, or text, including automated technology for calls and/or texts to the mobile number(s) provided. For more details, including how to opt out, read our privacy policy or contact an admissions advisor.

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