First Name

Last Name

Address

City State Zip

Home Phone #     Cell #

Email Address

Birthday Age  Grade

School

School Location

GPA(Please, provide proof from school counselor or transcript).

Future Plans

Do you have any flying experience?

If yes, what kind and how much?

What extra curricular activities are you involved in?

Do you understand the qualifications and criteria that must be met if you are awarded any of the scholarships?

Do you pledge to fulfill the requirements of the scholarship to the best of your ability?

Parent's Name and Contact Information

Submission of this form represents that you are the named person transmitting the essay.

You acknowledge your understanding of the requirements of the Aviation Scholarships.

Date

ESSAY

Minimum of 300 words double spaced entitled “Why I Want to Be a Pilot".