Eastern Michigan University
Michigan Army and Air National Guard Grant
Unit/Headquarters Application Form
Na
me: _______________________________________________ SSN: _____________________________
Email: _______________________________________________ Student ID: ________________________
Addr
ess: ______________________________________________ Phone: ____________________________
Ci
ty: _____________________________________ State: __________ Zip: ________________
*** You must be in good academic standing, 2.0 GPA or above!
Part A: Enrollment
Current Overall GPA: _______
Ac
ademic Year: ______________ Credit Hours Planned for Fall: _______
Cr
edit Hours Planned for Winter: _______
Cr
edit Hours Planned for Summer: _______
Part B: Financial Information
Ha
ve you filed (or renewed) a Free Application for Federal Student Aid (FAFSA)? _______
If “No,” please indicate the anticipated date if you intend to complete this form? _______
Ha
ve you completed the initial Application for VA Educational Benefits Form 22-1990? _______
If
“No,” please indicate the anticipated date when you intend to complete this form? _______
Part C: Certification by the applicant’s Michigan Army/Air National Guard Unit
I cer
tify that the above named applicant is a member of the Michigan Army/Air National Guard and is eligible
to receive the Eastern Michigan University National Guard Tuition Grant.
Sig
nature: ______________________________ Printed Name: ________________ Title: _______________
Uni
t: ________________________________ Phone: ___________________________ Date: ___________
Send c
ompleted form to:
State Education Office-Room 320
3423 N. Martin Luther King Blvd.
Kathy Enderle
E-mail: enderlek@michigan.gov
Phone: 517-48
1-7646
Fax: 517-481-7644
Lansing, MI 48906-2934
Part D: Certification Official at the State Education Office
Signature: _______________________________________________
Date: ________________