2017VICTOR DAVIS MEMORIAL AVIATIONSCHOLARSHIP

Victor Davis was the President of the Black Aviation Association, a registered student organization at Southern Illinois University Carbondale, at the time of his death in 1993. Victor’s lifelong dream was to earn his Federal Aviation Administration flight certificates and then fly for a major airline. Victor was in the process of completing his commercial pilot certificate at SIUC with an instrument rating when he passed away.

The goal of the Victor Davis Memorial Aviation Scholarship is to help aviation flight and/or aviation management students at SIUC with their educational costs. A scholarship award of approximately $1000 to one student is expected in 2017.

Qualifications:

1.Must be enrolled in the AF, AVM or AVT program

2.Must be of sophomore or junior standing

3.Demonstrate financial need

Submission Requirements:

1.Fully completed and signed scholarship application

2.Current Résumé

3.Current SIU transcript (unofficial is acceptable)

Please submit the scholarship application package electronicallyas a single PDF file (not multiple PDF files) to the AVMAF Scholarship Committee at

Please follow the following naming protocol for your application file: year_scholarship name_last name followed by first name initial. For example, 2017_Davis_JonesS or 2017_Davis_RuizJ

If your submission does not conform to these submission guidelines your application will not be considered. Please contact the committee at if you have questions or require assistance.

NOTE: Scholarship funds will NOT be awarded until a thank you note to the scholarship donor has been received at the SIU Foundation. Scholarship winners will be notified of the donor name and process for submitting the thank you note.

Application Deadline: Friday, February 24, 2017 @ 1200 (noon)

2017VICTOR DAVIS MEMORIAL AVIATION SCHOLARSHIP APPLICATION

(Note: *This Scholarship is for AF, AVM or AVT majors ONLY)

1. Name:______DAWGTAG#: ______

2. Current Local Address:______

3. Current Phone Number: ______SIU E-mail ______

4. Hometown and Parents’ Names (for press release) ______

______

5. SIUC Major: _____AVM _____AF _____ AVT

6. Enrolled for Spring2017? Yes _____No _____If yes, number of hours:____

7. Current Cumulative GPA at SIUC: ______

8. Expected Date of Graduation: ______

9. Flight Ratings or other FAA Certificates held: ______

10. Name of Transfer Institution (if applicable) ______

11. GPA at Transfer Institution: Overall ______Major ______

12. Community College/Community Activities and/or Awards: (Attach List)

13. Work Experience Record: (Attach List or Resume)

14. Financial Aid Received: None ______Pell ______ISAC/IVG ______

Direct Student Loan ______ASA Alumni Scholarship ______

Other ______

2017 VICTOR DAVIS MEMORIAL AVIATION SCHOLARSHIP APPLICATION

In the space below, provide the Scholarship Committee with 50 or fewer words in each category:

1.Personal statement of financial need:

______

______

______

______

2.Career goals:

______

______

______

______

Please attach any additional information (typed) you feel the Scholarship Committee should take into consideration regarding your qualifications to receive the Victor Davis Memorial Aviation Scholarship(aviation-related memberships, awards, work experiences, internship experiences, leadership positions at SIUC, etc.).

CERTIFICATION STATEMENT:

I attest that the above information is true and accurate, and I understand that any information found to be untrue or inaccurate may disqualify me from consideration, and I may be required to forfeit the award. If this statement is not signed, the application will be considered incomplete.

Signature: ______Date: ______

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