This form is an application to attend. Filling out this form is the START of the process and does not guarantee your acceptance. You will have more forms you will recieve after you are accepted that you will be required to complete.

EBS 2013 Application

• First Name *

• Last Name *

• Address *

• City *

• State *

• ZIP *

• Age *

• Phone Number *

• Email

• Parent/Guardian Name *

• High School *

• H.S. Counselor/Advisor

• H.S. Counselor/Advisor Email

• Any information relevent to your application you would like us to know:

• Information

  By submitting this application, I accept and understand the purpose of the The American Legion Evergreen Boys State. I will comply with the rules and regulations of the program, and if selected am obligated to attend the entire week of June 16-22, 2013. By applying, I agree to participate in this program to the best of my ability. I understand this is a scholarship program, but if selected I will be responsible for the $125 registration fee and transportation to the program site.

• I understand and accept these expectations *

• I understand the local selection process may require more action/information from me *