Cascade Warbirds Scholarship Program Application by zbs19295

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                                Cascade Warbirds Scholarship Program
                                            Application
                               I wish to apply for the following scholarship:

                                                    Private Pilot Ground School and Introduction Flights *
cascade warbirds
                                                    EAA AirVenture Aviation Camp 2011, Oshkosh, WI

               Applicant Information
               Name:

               Parent or Legal Guardian:
               (If applicant is under 18 yrs old)

               Address:

               City:                                                     Home Phone:

               State/Province:                                           Cell Phone:

               Zip/Postal Code:                                          Email Address:

               Directions for Submission
              1. Please fill out form completely. If additional room is required, continue answers on additional
              pages as required.

              2. Write in Not Applicable (N/A) for unanswered questions rather than leaving a section blank.

              Deadline: Only those applications received by the April 30, 2010 closing date will be eligible for the
              scholarship. EAA AirVenture applications must be received by March 15, 2011.

              Questions: Please contact Shirl Nadeau via Email (wsbluemoon@comcast.net) if you have any
              questions about the program or scholarship.

              Electronic Application Submission:
              Applicants can submit their application electronically by selecting the “Submit by Email” button at
              the top of the form.

              Hard Copy Application Submission:
              Applicants should send one copy of application to the Cascade Warbirds Scholarship Administrator
              at the following address:
                                           Cascade Warbirds Scholarship Program
                                           C/O Shirl Nadeau
                                           10795 Bill Point View
                                           Bainbridge Island, WA 98110
              * Awardee must be able to commute to Boeing Field, Seattle, for Ground School and flights
                                      Cascade Warbirds Scholarship Program Application Form
                                                          Page 1 of 4
                                                                                                                3/2010
                     Cascade Warbird Scholarship Program Application - Pt II
                Educational Data
                                                                                         From     To     Diploma
Name and address of high school(s) attended:                                            Mo/Yr    Mo/Yr    Mo/Yr

1.



2.



3.




                                                                                         From      To    Diploma
Name and address of college(s) attended:                                                 Mo/Yr   Mo/Yr    Mo/Yr

1.



2.



3.




Extracurricular Activities (High School or College): Please list all activities, yrs of membership/involvement,
offices held, etc.




                             Cascade Warbirds Scholarship Program Application Form
                                                 Page 2 of 4
                    Cascade Warbird Scholarship Program Application - Pt III
               Work Experience
List present and past employment and volunteer work experience beginning with your most recent job.

1.      Name and Address of Employer                                                 From: Mo/Yr     To: Mo/yr




List jobs you held, duties you performed, skills used or learned, advancements or promotions while employed




2.     Name and Address of Employer                                                  From: Mo/Yr     To: Mo/yr




List jobs you held, duties you performed, skills used or learned, advancements or promotions while employed




3.     Name and Address of Employer                                                  From: Mo/Yr     To: Mo/yr




List jobs you held, duties you performed, skills used or learned, advancements or promotions while employed




References
 List two references (not family members) familiar with your interest and involvement in aviation. Contact
references to obtain their permission for use of their names, occupation, address and phone numbers.

       Name                  Occupation                      Address                    Phone Number
1.


2.


                             Cascade Warbirds Scholarship Program Application Form
                                                 Page 3 of 4
                     Cascade Warbird Scholarship Program Application - Pt IV
                 Personal Statement
Attach a personal statement of 500 words or less addressing your career aspirations, educational plans, why you
want to receive this scholarship and what you have learned from your work/volunteer experiences.




Declaration
I declare that the information I have given in this application is correct and complete. If awarded the Cascade
Warbirds scholarship I agree to conduct myself in a professional and ethical manner at all times.
Applicant Signature: (If submitting electronically, type your name in the box below for the electronic signature)
                                                                                   Date:
Parent or Legal Guardian Signature (If applicant is under 18 yrs old): (If submitting electronically, type your name in
the box below for the electronic signature)
                                                                                     Date:
                               Cascade Warbirds Scholarship Program Application Form
                                                   Page 4 of 4

								
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