MARINE CORPS DISBURSING ASSOCIATION

EDUCATIONAL ASSISTANCE PROGRAM APPLICATION

Date____________________

Last Name _______________________ First Name____________________ MI___________

Address_______________________ City/State _____________________ ZIP Code________

Phone:____________________

Have you been accepted in a Community College or a 4-year College or University? Yes No

What is the name and location of the school?_________________________________________

_____________________________________________________________________________

Sponsor Information:

Are you or are one of your parents or grandparents a former, an active or retired Marine? Yes No

Name: __________________________Rank: _______ Military Occupation: __________________

Address: ___________________________________________Phone: ____________or Deceased

References (not related to applicant, one must be a teacher, career advisor, or school principal):

Name _____________________ Address______________________________ Phone _________

Attach your High School Transcript and a 300-word essay on your life goals.

Mail To: Marine Corps Disbursing Association,

Educational Assistance Program

1014 Jenny Lillard Rd.

Lawrenceburg, KY 40342

(MCDA EAP-1 04-09)