AVIATION CAREER EDUCATION (ACE) ACADEMY

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					                   AVIATION CAREER EDUCATION (ACE) ACADEMY
                       Application Form (Please type or print)
PERSONAL INFORMATION

Name _________________________________________________________________________________
          (Last)                                        (First)                                     (Middle)

Address _______________________________________________________________________________
           (Street)                                                                   (Apartment Number)

          _______________________________________________________________________________
              (City)                                  (State)                               (Zip)

Home Phone ________________________________                       Birth Date ______________________________


Name of Parent or Guardian _______________________________________________________________


Work Phone _______________________________ Emergency Phone_____________________________


Parent/Guardian Email Address________ ___________________________________________________
                                  (Used for notification purposes only)

Name of Current Middle/High School _______________________________________________________


Grade this Fall _____________________Age___________________                   Citizenship __________________

OPTIONAL INFORMATION

Sex: Male (        )   Female (      )

Ethnic Background (Please check only one)

1) _____American Indian/Alaskan Native             2) _____Asian/Pacific Islander

3) _____Black (Non-Hispanic)                       4) _____Hispanic

5) _____White (Non-Hispanic)                       6) _____Other


                                  Program Attendance/Cancellation Procedures


 The NBCFAE-WSC ACE Camp will be held the week of July 9-13, 2007. Participation in the program
requires a commitment to all five (5) days. Missing more than one day will constitute termination from the
program. If you are running late or plan to be absent, please call Kimberly Brooks at (410)961-4466 or
Glenda Mickens (703) 371-2664..

If for any reason you are unable to attend the Academy after submitting your application, make every effort
to contact an Academy Coordinator as soon as possible so that another student can fill your slot.
TELL US ABOUT YOURSELF

1) List any aviation-related activities, courses, hobbies or experiences you may have had. If you have no
   aviation background, put N/A. (This will not count against your selection to this program).

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

2) Please list the career field(s) you are interested in and why. If your career interests are unknown at
   this time put “unknown”.

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

3) Please submit a letter of recommendation from at least one adult, non-relative (i.e. teacher, pastor,
   neighbor, etc.). Be sure to include their occupation and a phone number where he/she can be reached.

     (Name of person sending the letter of recommendation) _____________________________________


______________________________________________                                   ____________________________
                  (Applicant’s Signature)                                                         (Date)



______________________________________________                                   ____________________________
                (Parent/Guardian Signature)                                                        (Date)




                                     QUALIFICATIONS/REQUIREMENTS

All applicants must be entering 8th through 12th grade by the fall of 2007. There is a non-refundable, application fee of
$35. Only money orders and cashiers checks will be accepted. Make payable to NBCFAE. All applications will
be considered regardless of Grade Point Average (GPA). Completed application packages must be returned by June 15,
2007 to NBCFAE – WSC ACE Academy Co-coordinator:

                                                     Glenda Mickens
                                                   2819 Bixley Hill Court
                                                   Woodbridge, VA 22191
                                                       (703)371-2664
                                                    sixmicks2@msn.com

       Applications also available online at www.NBCFAENE.org -Click on Washington Suburban Chapter.