SUSSEX BRANCH NO. 20
High School Graduate From Which School
Note: Open to sons, daughters, grandchildren and great-grandchildren of
ex-service persons.
Name
Age
Home address
Phone No.
Describe briefly, extra curricular school activities in which you
participated and outline your part
in them:
Describe any part played in church or community groups:
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Name of University or Institute you plan to attend, or are attending:
Courses intended to be followed, or are presently enrolled in:
Occupation you intend to follow after graduation from above:
Name & occupation of father:
Name & occupation of mother:
Total household income from ALL sources
Military Service Record, if any, of father, mother or grandparent (in
detail), including dates
of enlistment and discharge, branch of service: - (use back
of sheet, if necessary)
Name:
Did either parent or grandparent die in action or as a result of service?
Yes No
13. Does either parent receive a Disability Pension?
Yes No
Number of dependent children supported by your parent(s):
Give names of two well-known persons in the community from whom a
recommendation can be
obtained, IF REQUESTED.
Name
Position
Name Position
DATE OF APPLICATION
Should you be chosen as a recipient, it will be necessary to forward a
Photostat copy of your
acceptance for enrollment at the University or Institute of your choice.
*Applications must be returned to the Sussex Legion by the last Friday in
April.
