Section A - Items 1-9 to be completed by the student. Type or print in ink. Any missing information or documentation is cause for rejection.

1. Enter your social security number.



2. Enter your last name first, then your first name and middle initial. Then enter your permanent home address (family's current mailing address). A temporary school address is not acceptable. NOTE: All Active Duty spouses must reside within the lower 48 contiguous states during the 2010-2011 academic year.



3. Enter month, day and year of your birth. Use only numbers.



4. Enter the area code and phone number for the address listed in Item 2.



1. Enter an email address that you regularly use/monitor to which correspondence regarding this application is to be sent.



5. Enter the starting and ending dates (for example 8/2010-5/2011) of the academic year for which this grant is to be used. These dates should coincide with regular school terms during the academic year 2010-2011, and should begin no sooner than 8/2010. Summer session only is not acceptable.



6. Check the appropriate box to indicate your expected college grade level during the 2010-2011 academic year indicated in item 5. NOTE: Students enrolled in 2-year schools cannot be considered higher than sophomore status, and students applying as 5th year undergraduates must provide verification of enrollment in a degree program which requires 5 years to complete. This verification should be attached to the preliminary application when submitted. Students taking 5 years to complete 4-year degree programs are not eligible to apply as 5th year undergraduates.



7. Check the appropriate box to indicate your intended enrollment status for 2010-2011. You must be full-time in order to be eligible for this grant.



8. Enter most recent cumulative Grade Point Average (4.0 scale) for 2009-2010 academic year. Entering freshmen should list high school GPA; current freshmen and higher grade levels must list most recent cumulative college GPA; GED students should list GED and pass/fail status; and students not attending 2009-2010 year should list last reported cumulative GPA on 4.0 scale. GPA's higher than 2.0 have no impact on award selection other than meeting initial eligibility criterion of 2.0 minimum.



9. Enter name, city and state of school you will most likely attend during the 2010-2011 academic year. Should choice of schools change after submission of application, immediately notify ACT at 1(800)205-6372. NOTE: All Active Duty spouses must attend campuses within the lower 48 contiguous states only.

Section B - Items 10 - 17 to be completed by the Air Force member or surviving spouse (refer to APPLICATION PROCEDURES, item 1). Type or print in ink.

10. Enter your social security number.



11. Enter your last name first, then your first name and middle initial. Then enter your permanent home address (family's current mailing address).



12. Check the appropriate box to identify student as member's child, or spouse/surviving spouse.



13. Enter month, day and year of your birth. Use only numbers.



14. Enter the area code and phone number for the address listed in Item 11.



1. Enter email address that you regularly use/monitor to which correspondence regarding this application may be sent.



15. Check the appropriate box to indicate Air Force member's category. Active Duty and Title 10 AGR/Reserve; Title 32 AGR (full-time active duty); Retired (includes Retired AGR/Reserve age 60 and receiving retired pay); Retired AGR/Reserve (NOT age 60/NOT receiving retired pay); or Deceased. Refer to APPLICATION PROCEDURES, item 2, for details of documentation required.



1. To be completed by Active Duty, Title 10 AGR/Reserve, and Title 32 AGR members only:



1. Enter current Active Duty rank.



2. Enter current Date of Separation (DOS). Title 10 AGR/Reservists enter date Title 10 status is due to expire. Title 32 AGR enter active duty status expiration date.



3. Check the appropriate box to indicate military status as of December 1, 2010.



4. Enter present duty station/base assigned.



REMINDER FOR ACTIVE DUTY: If active duty member (including Title 10 AGR/Reserve) is assigned to an overseas location (including Alaska and Hawaii), verification of spouse residence within lower 48 contiguous states is required.


2. To be completed by Retired members only (eligible category only if applying for child):



1. Enter rank at retirement.



2. Enter date of retirement.



3. To be completed by surviving spouses of Deceased members only:
   
   
   1. Enter social security number of the deceased Air Force member.
   
   
   
   2. Enter full name ( first, middle initial, last ) of deceased member.
   
   
   
   3. Enter highest rank held by deceased member during Air Force service.
   
   
   
16. Enter work telephone or DSN number.



17. Sign and date your legal name, including full first name, middle initial, and last name.

***Attach required documentation as described in APPLICATION PROCEDURES, item 2.***

MAIL COMPLETED APPLICATION AND ATTACHMENTS TO:
AIR FORCE AID SOCIETY
EDUCATION ASSISTANCE DEPARTMENT
241 18th STREET SOUTH, SUITE 202
ARLINGTON, VA 22202-3409

1(800) 429-9475
(703) 607-3072
DSN 327-3072

www.afas.org

The General Henry H. Arnold Education Grant Program is supported through the Air Force Aid Society Education Fund. Your tax deductible donations to this fund will enable this and other programs to be sustained, and new programs to be developed. All costs for administering this fund are absorbed by AFAS's general operating costs. This ensures that 100% of all contributions received will be used for education programs.