DEERFIELD POST 738

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 descendant, 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.
==================================================================================

Name:____________________________________________________________________________

Address:__________________________________________________________________________

City:_______________________________ State: _______________ Zip___________

E-mail:_____________________________

Telephone: _________________________

Date of Birth - Month_____ Day ____ Year______

I am the (state relationship)____________ of (veteran's name ____________________________

Veteran's Address (if living)________________City________________State______Zip___________

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