Get OH AGOH 621-2 2005-2024

A copy of the AGOH Form 621-1 is attached. The above information is true to the best of my knowledge. I further affirm that I have signed and understand the Statement of Understanding AGOH form 621-1 dtd 1Sep05. If you desire a return receipt indicating the date this form is received at ONG Scholarship Program please print your name and address on the reverse of this card and mail the entire application to AGOH-SP. Also I certify that this applicant will be occupying a valid MTOE/TDA ARNG or UMD ANG position while using this program. Signature of MEPS Representative Recruiter Unit Commander/Unit Administrator AGOH Form 621-2 1SEP05 Other Forms Obsolete Note 1. I certify that applicant s enlistment and ETS dates are NON-PRIOR SERVICE Enlistment Previous ONG Enlistment PRIOR SERVICE ONG Enlistment ETS AIT If requesting waiver for BMT If 3 year enlistment with the or AIT - must attach waiver ONG - attach 3 year Prior Service Current ONG Enlistment Agreement and copy of DD 214 or or other documentaion of satisfactory service Service Agreement I further certify that this applicant has signed and dated AGOH Form 621-1 dtd 1SEP05 and has been advised by the undersigned as to what constitutes maintaining membership in good standing while assigned to this univ and that his/her scholarship will be immediately terminated if he/she fails to maintain the standards set forth in AGOR 621-1/35-1 and that REDRESS COULD BE SOUGHT through the court system to recoup state funds expended when a person FAILS TO COMPLETE THEIR SIX-YEAR ENLISTMENT CONTRACT. OHIO NATIONAL GUARD SCHOLARSHIP PROGRAM APPLICATION Note THIS APPLICATION IS FOR INITIAL USE ONLY Last Name First Name Middle Initial Rank SSN Address City Sex Phone County State Race Male or Female SUC Statistical use only School Name Term name /Month Year 6 You must enroll for a minimum 6 credit hours. Indicate projected number of credit hours. 7 Have you previously RECEIVED a Baccalaureate degree Zip EMAIL 1 YES / / NO / / 9 I will have submitted to the Ohio National Guard Scholarship Program an authorized application by the established deadlines. APPLICANT S SIGNATURE DATE Section B. - To be completed by MEPS or the applicant s Unit Commander/Unit Administrator. 2. Mailing of this form is the individual s responsibility and as such MUST be done at their expense. OHIO NATIONAL GUARD SCHOLARSHIP PROGRAM APPLICATION Note THIS APPLICATION IS FOR INITIAL USE ONLY Last Name First Name Middle Initial Rank SSN Address City Sex Phone County State Race Male or Female SUC Statistical use only School Name Term name /Month Year 6 You must enroll for a minimum 6 credit hours. Indicate projected number of credit hours. 7 Have you previously RECEIVED a Baccalaureate degree Zip EMAIL 1 YES / / NO / / 9 I will have submitted to the Ohio National Guard Scholarship Program an authorized application by the established deadlines. .