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The Chief Master Sergeant (CMSgt) Richard A. Gauvin Memorial Scholarship Fund was founded by Class 9806 as a continuing class legacy to pay tribute to Chief Gauvin for his selfless contributions to his country and the Ammo community. Class 9806 contributed the initial funds in the amount of $400.00, obtained through personal contributions by class members. All class members agreed the fund should be established to award scholarships to children of munitions personnel who held AFSC 461XX, 465XX or 2W0X1 on active, reserve, or ANG duty in the service of the USAF.
The Air Force Combat Ammunition Center (AFCOMAC) Senior Staff will administer the scholarship fund. All future AFCOMAC classes will have the opportunity to raise funds and contribute to expanding the scholarship fund.
The MAJCOM Functional Managers who act as the AFCOMAC Board of Advisors (BOA) will be the Scholarship Selection Committee to review, approve, and decide on the amount awarded to each applicant. This will be accomplished during the annual curriculum review in August. All scholarship applicants will submit their applications prior to 30 April 2001 of each year. This will allow a sufficient amount of time to process the applications prior to the curriculum review.
Eligibility
In order to be eligible and qualify as a recipient for the CMSgt Gauvin Memorial Scholarship award, the following criteria applies:
a. Be a child (never married) under the age of 23, to include: natural born child, legally adopted child, and other dependent children of a parent(s) or legal guardian(s) who served honorably in the United States Air Force in Air Force Specialty Codes (AFSC) 461XX, 465XX or 2W0X1 (AMMO troops). Service may include active, reserve, or Air National Guard duty for any period of time. The applicant must provide proof of honorable service and AFSC.
b. Be a graduate of an accredited high school or equivalent or high school senior who will qualify for graduation prior to beginning eligibility for assistance.
c. Be enrolled or accepted for enrollment in a full time (as defined by the school attending) undergraduate course of study at an approved accredited college, university or technical school beyond the high school level with the exception of a service academy. Applicants attending a service academy are not eligible for this scholarship.
d. Selection for the award is made without regard to Race, Religion, National Origin, and Sex, Age or other factors determined to be illegally discriminatory by the law of the land.
NOTE: Eligibility is not limited to citizens of the U.S. However, applicants must be attending a U.S. institution of higher learning.
Selection Priority
The Scholarship Selection Committee will use the following precedence list to prioritize the eligible candidates:
a. Eligible children of AMMO troops who died on active duty.
b. Eligible children of AMMO troops who died after retirement.
c. Eligible children of AMMO troops who are/have served honorable.
NOTE: The original intent of the scholarship program is to assist dependent children of deceased AMMO with higher education.
Requirements
The following must be enclosed with the application:
a. The completed application and appropriate financial information sheets.
b. Privacy Act (page v of the application web package) must be dated and signed.
c. A brief pertinent history of the applicants background and reason for requesting the scholarship. Include such items as high schools and colleges attended, awards won in schools, significant scholarship recognition, special interests and hobbies, clubs, sports, volunteer work (provide average hours/week), and employment history (provide average hours/week). Please limit this to one typewritten single-spaced page.
d. Copies of the current years Federal Tax Form (1040/1040A/1040EZ, or electronically transmitted equivalent) of parent(s) tax forms along with their own tax form if applicable.
e. Applicants may informally notify the fund administrators of intent to apply at any time.
Additional Information:
a. Applicants are personally responsible for ensuring the completeness and accuracy of the applications package. Applicants are strongly urged to carefully review their submission for absolute conformity to requirements.
b. Award amounts may be tailored by the applicants request and fund availability, but must be fairly and impartially distributed. These funds are for the immediate school year, approximately 1 September through 31 August. (Note: The scholarship is to be used for tuition, books, room and board on campus, and laboratory fees only). It is payable to the school, university or college only. Should the applicant fail to enroll as a full time student or become dis-enrolled, all money will be returned to the scholarship fund. If the applicant is awarded a full scholarship from another source, this scholarship must be relinquished.
c. Applications must be postmarked not later than 30 April 2001. Any postmarked after that date is not considered for that school year. Personally delivered applications must be received by the Scholarship Applications Coordinator by 1500 hrs (3:00 PM PST) 30 April 2001 to be considered.
d. It is the responsibility of each student to take the steps necessary to gain admission to the institution of his/her choice.
e. Applications/information should be sent to: 9 MUNS Scholarship Coordinator, 5890 A street, Beale AFB, CA 95903-1545 Telephone (530) 634-3690/2400
Administrative Information
The AFCOMAC Curriculum Flight is responsible for scholarship coordination and fund administration. These individuals shall be responsible for the following:
1. Receive and maintain all applications along with information on how to contact them.
2. Application and approval/disapproval information file for all applicants.
3. Establishing a financial account for funds management.
4. Maintaining financial and tax exempt records.
5. Promotion of fund raising activities and scholarship awards.
6. Preparing Application packages and presenting them to the Board of Advisors.
7. Disbursing funds for selected applicants in the amounts determined by the Board of Advisors within 60 days after the BOA has made their decision.
These instructions are as of 3 September 99
JOHN D. BERGEZ, CMSgt, USAF
Scholarship Coordinator
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Enter content here Pertinent History Format
Extracurricular Activities (Volunteer unpaid, last four years only. Spell out acronyms)
1994-present Red Cross Blood Mobile volunteer, 6 hrs per month
1993-present Brownie Leader Troop 334, 1 hr per week
1992-present Cub Scout Leader Den 555, 1 hr per week
1991-1993 USO volunteer, 2 hrs per week
1990-1992 Tutor Prince William County Adult Literacy Program, 6 hrs per week
Paid Employment (List hours worked per week)
1992-present Secretary, Johnson's Law Firm, Lorton, VA, 15 hrs per week
1982-1992 Vendor,local craft shows throughout the area, 9-40 hrs per week
1980-1982 Homecare Provider, 2 hrs per week
Future Goals
PRIVACY ACT STATEMENT
Authority to request this information is derived from Title 5, United States Code 301, Departmental Regulations. The purpose of the information is to apply for educational financial assistance through the CMSgt Gauvin Memorial Scholarship Program. Information provided will be used to assess scholastic achievement and to evaluate the need for financial assistance. Completion of this form is mandatory.
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Date Applicant's Signature
Checklist
1. Application
2. Official transcript sent from the high school or college.
3. Personal history statement.
4. Privacy Act signed.
5. Federal Income Tax Forms
APPLICATIONS MUST BE POSTMARKED BY 30 April 2001.
APPLICATION FOR CMSGT GAUVIN MEMORIAL SCHOLARSHIP
FOR OFFICIAL USE ONLY
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COMPLETION OF APPLICATION FORM
1. The entries on the application must be COMPLETE AND ACCURATE. They should be typewritten or printed legibly in black ink. When boxes are provided for answers, ensure that only one letter or number is written in each box.
2. Instructions for each box are printed beside the box. Read all instructions carefully before attempting to answer. Ensure all answers are accurate.
3. After this form has been completed, recheck all instructions and signatures, and return it to: 9 MUNS Scholarship Coordinator, 5890 A street, Beale AFB, CA 95903-1545 Telephone (530) 634-3690/2400
4. APPLICATIONS MUST BE POSTMARKED NOT LATER THAN 30 April 2001. ANY POSTMARKED AFTER THAT DATE WILL NOT BE CONSIDERED. PERSONALLY DELIVERED APPLICATIONS MUST BE RECEIVED BY THE SCHOLARSHIP APPLICATION ADMINISTRATOR BY 1500 hrs (3:00 P.M.) 30 April 2001 TO BE CONSIDERED.
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