Form 53414 - Application For National Guard Extension Scholarship (Nges)

ADVERTISEMENT

APPLICATION FOR NATIONAL GUARD EXTENSION SCHOLARSHIP (NGES)
State Form 53414 (R / 3-09)
STATE OF INDIANA
STATE STUDENT ASSISTANCE COMMISSION OF INDIANA (SSACI)
FORMER GUARD MEMBERS MUST PROVIDE LEGIBLE NGB FORM 22 AND DD214 WITH THIS
APPLICATION.
DISCHARGE MUST HAVE BEEN HONORABLE.
Please note that all students are required to file the Free Application for Federal Student Aid (FAFSA) each year by the March
10, receipt date deadline and make necessary corrections by the May 15, receipt date deadline. The FAFSA can be filed online at
or a paper FAFSA obtained from some college financial aid offices. Monitor SSACI’s processing of the
FAFSA as application for state programs at
Rules of eligibility and administration of the National Guard Extension Scholarship (NGES) are provided in the following
pages. Eligibility for the NGES is described at
as part of the National Guard Supplemental Grant
(NGSG) program description.
Please complete the following information on the former Guard member:
Name _____________________________________________________________________________
Last
First
Middle Initial
SSN _____-___-_________ Date of Birth _____/_____/______ Date of Application ___/___/____
mm
dd
yyyy
mm dd
yyyy
Start and End Dates of each mobilization (Form DD214 required). Note that the earliest possible start date eligible for
consideration for the NGES is September 11, 2001.
START
END
_____/_______/________
_____/_______/________
mm
dd
yyyy
mm
dd
yyyy
_____/_______/________
_____/_______/________
mm
dd
yyyy
mm
dd
yyyy
_____/_______/________
_____/_______/________
mm
dd
yyyy
mm
dd
yyyy
(If additional space is necessary to record dates, please continue on reverse side of this page.)
Date of Discharge from Indiana National Guard (NGB Form 22 required). Note that the discharge date must be May 3,
2007 or later.
_____/_____/_____________
mm
dd
yyyy
Return this Application with DD214 and NGB Form 22 in person, by fax, or mail to:
Indiana Army National Guard Education Services Office
JFHQ-IN-J1-ARP-ES
th
9301 East 59
Street
Lawrence, IN 46216
(317) 964-7023
Fax: (317) 964-7028
edservices@in.ngb.army.mil
For National Guard Education Services Office Use Only:
Date Application Received by IANGES Office
Signature of ING Education Services Officer
__________________________________
1 of 2

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 2