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2340 West Chester Pike, Broomall, PA

American Legion Post 805

GIRLS STATE

ELIGIBILITY;  High school students who participate in and complete either an American Legion Boys State or Auxiliary Girls State program and is a direct decendant, i.e. child, grandchild or legally adopted child of a U. S. veteran who served during a period of war.  Furnish requested information when completing this application.  Do not attach any documents or additional pages to this application, except as requested.  All other documentation or added pages will be discarded.
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Name:____________________________________________________________________________

Address:__________________________________________________________________________

City:_______________________________     State: _______________     Zip___________

E-mail:_____________________________Telephone: _________________________         

Date of Birth - Month_____      Day ____   Year______

I am the (relationship)_________________ of (Veteran) ____________________________

Veteran's address (if living)________________City______________State____Zip______

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who served active duty during one or more of the following periods: (Check one)

 

(April 6, 1917 -November 11, 1918) World War I
(December 7, 1941 - December 31, 1946) World War II
(June 25, 1950 - January 31, 1955) Korean War
(February 28, 1961 - May 7, 1975) Vietnam War
(August 24, 1982 - July 31,1984) Lebanon/Grenada
(December 20, 1989 - January 31, 1990) Operation Just Cause
(August 2, 1990 - Today)* Operation Desert Shield/Desert Storm
and Until Cessation of Hostilities.
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High School Record:  This section to be completed by a high scchool official.

Number of students in high school _________ Number of students a applicant's class_________

Cummulative Grade Point Average (GPA)____ GPA scale is:_____ (i.e. 4 or 6 or 12 point, etc)

Expected Date of Graduation______________

Signature______________________________Date ___________________________________
                                                                                                              Print name & title
                                                                                                       Affix school stamp or seal

(Print page and complete application)

For additional information click here to view a copy of the Girls State brochure:

http://ala.pa-legion.com/wp-content/uploads/2010/01/kgs-brochure.pdf

http://www.alaforveterans.org/Pages/default.aspx

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