AEA Scholarship Program Letter of Intent

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					                            AEA Scholarship Program

AEA offers scholarships to further promote safe and effective aquatic fitness. These
funds are donated by private agencies, individuals and or are built from membership
and certification renewal revenue when applicable. Scholarships may be awarded to
individuals for educational financial aid, weekend events and or conferences hosted by
AEA as well as select AEA CEC Providers and Affiliates.


                                    Letter of Intent
Please complete all of the following information and return to:
      AEA – Scholarship Program
      PO Box 1609
      Nokomis, FL 34274-1609

To be considered, ALL information must be complete and submitted at one time.


A. APPLICANT INFORMATION

Name: ________________________________________________________________
Street Address: _________________________________________________________
City & State: ___________________________________________________________
Country; _________________________ Zip/Postal Code: ______________________
Day Phone: ______________________          Evening Phone: _______________________
Email Address: _________________________________________________________
Date of Birth: _____________________ Current Age: _________________________


Type of Scholarship applying for:
_____PROFESSIONAL/CAREER
_____STUDENT
      HS/College/University Attending: _____________________________________




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B. PERSONAL ESSAY

Please attach a separate document (must be typed, hand written documents are not
accepted) that states:
         •      Personal background
         •      Current involvement in aquatics
         •      Goals for increasing involvement in aquatic exercise
         •      Reasons you feel you should be considered for this scholarship
         •      How your goals coincide with AEA’s Mission

The essay document should be at least 2000 words and no more than 2500 words.



C. JUSTIFIED DOCUMENTATION

Please provide documentation of your current employment in aquatics or school
transcripts that indicate a pursuit in aquatic fitness related education.

If you are not currently involved in aquatics, please a typed document that explains how
you plan to become active in the field within the next 12 months. Clearly state, in 500
words or less, your aquatic goals and strategies for achieving them.



D. PROOF OF ELIGIBILITY-FINANCIAL

Please attach your personal or parental (if you are a minor) financial records for review
by the Approval Committee that justifies your need for financial assistance through the
AEA Scholarship Program. Financial records should include 3 prior year tax returns,
personal financial statement* and current employment verification if employed.

* Personal Financial Statement Required Information on pages 4-5 of this packet.



E. CHARACTER REFERENCES

Submit two (2) character references completed by academic or professional associates.
Family members should not complete the character references.
Please utilize the following Recommendation Information Form.




AEA Scholarship Program, 2006                                                               2
                          AEA Scholarship Program




                    RECOMMENDATION INFORMATION FORM


Character Reference for: ________________________________________________




Name: ________________________________________________________________
Title or Relationship to the Applicant: ________________________________________
______________________________________________________________________
Street Address: _________________________________________________________
City & State: ___________________________________________________________
Country; _________________________ Zip/Postal Code: ______________________
Day Phone: ______________________      Evening Phone: _______________________
Email Address: _________________________________________________________


Signature: ____________________________________ Date: ___________________




•     Please attach a separate typed document explaining why you recognize
      and support the above individual for his/her application to the AEA
      Scholarship Program. Please be specific. The document should be 500-
      100 words.


•     Return to the individual for whom you are completing this Character
      Reference – the original forms must be included in his/her submittal
      package.




AEA Scholarship Program, 2006                                                  3
                                AEA Scholarship Program

        PERSONAL FINANCIAL STATEMENT REQUIRED INFORMATION
      Up to Date Information is required at the time of filing Letter of Intent



APPLICANT:
Name: ________________________________________________________________
Street Address: _________________________________________________________
City & State: ___________________________________________________________
Country; _________________________ Zip/Postal Code: ______________________
Day Phone: ______________________          Evening Phone: ____________________
Email Address: _________________________________________________________
Date of Birth: _____________________ Social Security: _______________________
Employers Name & Address: ______________________________________________
______________________________________________________________________
Account’s Name & Address: _______________________________________________
______________________________________________________________________


APPLICANT’S PARENTS (if applicant is a minor):
Name: ________________________________________________________________
Street Address: _________________________________________________________
City & State: ___________________________________________________________
Country; _________________________ Zip/Postal Code: ______________________
Day Phone: ______________________          Evening Phone: ____________________
Email Address: _________________________________________________________
Date of Birth: _____________________ Social Security: _______________________
Employers Name & Address: ______________________________________________
______________________________________________________________________
Account’s Name & Address: _______________________________________________
______________________________________________________________________
                                 Continued on next page.



AEA Scholarship Program, 2006                                                     4
          PERSONAL FINANCIAL STATEMENT REQUIRED INFORMATION
        Up to Date Information is required at the time of filing Letter of Intent


Please complete or attach documentation for the following:

Annual Income:

Annual Expenditures:

Assets:

Liabilities:

Net Worth:

Residence & Real Estate Information:

Contingent Liabilities
•     ARE YOU A GUARANTOR FOR ANY CORPORATION? _______
•     DO YOU HAVE ANY OUTSTANDING LETTERS OF CREDIT? _______
•     DO YOU HAVE ANY LEGAL SUITS AGAINST YOU? _______
•     ARE YOU LIABLE ON ANY LEASE(S) OR CONTRACT(S)? _______
•     DO YOU HAVE ANY PAST DUE TAX OBLIGATIONS? _______




AEA Scholarship Program, 2006                                                       5