Quatro Casino Seriös - Flight Path Learning Center

Quatro Casino Seriös - Flight Path Learning Center

Charles “Pete” Conrad, Jr., Scholarship Entry Form Please fill out this form completely and mail with other requested information to: , Flight Path Le...

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Charles “Pete” Conrad, Jr., Scholarship Entry Form Please fill out this form completely and mail with other requested information to: , Flight Path Learning Center & Museum Scholarship Committee P.O. Box 90234 Los Angeles, California 90009

Deadline: Entries must be postmarked by Saturday, May 27, 2017, and received by June 3, 2017 Name: _________________________________________________________________ Address: _______________________________________________________________ City/State/Zip: ___________________________________________________________ Phone: _________________________________________________________________

email: _________________________________________________________________ Birth Date: ______________________________________________________________ Name of Current School: ___________________________________________________ Current Year of School: ____________________________________________________

Answer the following items (use additional page for more extensive responses)

1. Grade Point Average (must be converted to a 4.0 scale if school is not on 4.0 scale).

2. What is your academic field of interest (major/minor) and/or career goal?

3. What is your best achievement?

4. List all academic awards and honors received, giving specific years for each.

5. List all extracurricular activities including class offices, athletics, clubs and music. Give specific years for each.

6. List any aviation, aerospace, aeronautics, robotics, engineering or science related activities or organizations to which you belong.

7. List any community activities showing leadership or character.

8. List any other accomplishments you feel would interest the judges.

9. Write and submit an essay that describes your interest in aviation, aerospace, aeronautics, robotics or science. Your response MUST identify how your interest relates to aviation. Essays must be typed and 250 words or less. 10. Include one copy of your high school/college transcript of grades. 11. Provide the names and telephone numbers of the two high school/college/university/technical school faculty members who gave you letters of recommendation. (Enclose the two letters of recommendation with your application package.) 

Name:_____________________________________________________________ Telephone #:_____________________ Email:_____________________________



Name:_____________________________________________________________ Telephone #:_____________________ Email:_____________________________

12. How did you learn about this scholarship? __ School/College Instructor

__ School Counselor

__ Flight Path Website

__ Friend/Family

__ Other, please specify: ________________________________________________________________

Deadline: Entries must be postmarked by Saturday, May 27, 2017, and received by June 3, 2017 Checklist: 

Scholarship entry form



Essay



Transcript of grades



Flight Path Learning Center & Museum

2 letters of recommendation