Application for The Spirit of Apollo Scholarship
American Institute of Aeronautics and Astronautics
Houston Section
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Personal Information
Name: Click here to enter text.Student ID: Click here to enter text.
e-mail: Click here to enter text.
Local Address:
No. & Street: Click here to enter text.
City: Click here to enter text. State: Click here to enter text. Zip: Click here to enter text.
Telephone: (Click here to enter text.) Click here to enter text.
School Telephone: (Click here to enter text.) Click here to enter text.
Date of Birth: Click here to enter a date.
Citizenship: U.S. Citizen Permanent Resident of the U. S.
Personal Assessment of Career Goals – this is a 500-1000 word essay. The essay should specify the career objectives of the applicant and should outline the academic program required to achieve those career objectives:
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List your educational experience to date:
Name of High School or College / Dates Attended / Graduation Date / Degree GPAClick here to enter text. / Click here to enter text. / Click here to enter a date. / Click here to enter text.out ofClick here to enter text.
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Indicate the school year for which the scholarship is requested:
Sophomore Junior Senior Graduate
Current Class Rank: Click here to enter text.out of Click here to enter text.
Degree sought (major):Click here to enter text.
Activity and Employment Information
ListHigh School, College, and Community activities, including offices held and/or awards:
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List work experience during the last four years:
Type of work / Employer/Company / Dates of employmentClick here to enter text. / Click here to enter text. / Click here to enter text. /
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Write a need statement (any special circumstances for the committee to consider):
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Signature of applicant ______Date______
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