Whirly-Girls Scholarship Application 2018 Your Name, WG#, Email: ______
Whirly-Girls Scholarship Fund, Inc.
International Women Helicopter Pilots
APPLICANT'S PERSONAL BACKGROUND INFORMATION
· Bold fields are required.
Name (First, (Middle), Last) / Mailing Address:Street, City, State, Zip/Postal Code, Country
DOB (Month, Day, Year) / Citizenship / Email:
Employer or School / Position or Year in School
Phone - mobile
(123) 456-7891 / Home or Office phone (optional)
(123) 456-7891
RULES
· If you are unable to complete this online, you may email this completed document to
· Scholarships must be used by December 31, 2018.
· Scholarships cover only flight time unless otherwise specified in the scholarship’s description. Scholarship winners are responsible for their own transportation to and from training; meals & accommodations; ground school; and any other materials and expenses.
· Winners must sign a Letter of Agreement and abide by scholarship rules, or the scholarship may be forfeited.
· In the event that an applicant does not qualify for a particular scholarship, the Whirly-Girls Scholarship Committee reserves the right to not award that scholarship. An applicant is only qualified when she meets the minimum requirements for the scholarship for which she is applying.
· Applications missing items are considered incomplete and will be rejected, and your application fee will not be refunded.
CHECKLIST
· Personal Background Information (This entire document.)
· Ranking List Preference. (Page 2 of this document). If applying for more than one scholarship.
· Estimated Training Cost (separate document). Required only for certain scholarships.
· Essays (separate document). One required for each scholarship for which you are applying.
· Pilot and/or Instructor Certificate(s). A legible image of both front and back sides.
· Medical Certificate - Current. A legible image.
· Recommendation Letters. Three typed, signed letters from individuals such as employers, friends, flight instructors, or Whirly-Girls who can attest to your experience, qualifications, work history, work ethic, and/or financial need. These documents can be emailed or mailed. These letters are a critical part of your scholarship application. Please submit only three letters.
· Remittance. Cost is $50 USD non-refundable and payment may be made by credit card, personal check, or through PayPal on the website.
· If you are selected for a scholarship, you will be asked to provide a professional picture.
SCHOLARSHIP RANKING SHEET
Ranking Directions:You may apply for any of the scholarships for which you meet the requirements and wish to be considered. Please rank your choices in order of your priority with themost preferredbeing 1, your top preference for a scholarship. Do not use a number more than once.Rank of Preference
/ Scholarship Options
/ Upload essay
/
Whirly-Girls Memorial Flight Training / Document uploaded
Whirly-Girls Helicopter Add-On Flight Training
Advanced Mountain Flight Training
Airbus Flight Training
Antipodean Aviation and Embry-Riddle Wire and Obstacle Environment
Awareness Course / Document uploaded
Embry-Riddle Commercial Helicopter Pilot Ground School Course / Document uploaded
Erickson Vertical Reference/External Load Scholarship
FlightSafety International Bell 206 Scholarship
ForeFlight Pro Plus
Garmin GTN & G500/600 Course
Night Flight Concepts Night Vision Goggles Initial Pilot Qualification Scholarship
Oregon Aero CRM/AMRM Instructor Training
Robinson Helicopter R22/R44 Safety Course
Robinson Helicopter R66 Safety Course
Survival Systems USA Aircraft Ditching Course
The Thurn-Herr Annual Advanced Training Scholarship
FLIGHT EXPERIENCE
HOURS by AIRCRAFT
Make/ModelTotal Hours
HOURS by CATEGORY
Helicopter – TotalHelicopter PIC - Total
Fixed Wing - Total
Fixed Wing PIC - Total
Cross Country - Total
Instrument - Total
Night - Total
Turbine - Total
Helicopter Last 6 Months
Helicopter Last 5 Years
Fixed Wing Last 6 Months
Fixed Wing Last 5 Years
TOTAL FLIGHT TIME
TOTAL PIC
Airman Certificates
List all: Certificate; date obtained; category; class; rating; and any other applicable information.
1.
2.
Medical Certificate Date current certificate issued: ______Class______
EDUCATION AND TRAINING EXPERIENCE
Education &Training / Name / City, State, Country / Dates Attended or Graduated
(month, year) / Degree Earned / Major/Minor/ Specialization
Current school or most recent
Other education/training applicable (add as many as you want)
EMPLOYMENT EXPERIENCE
List most recent employer first. List at least two employers
COMPANY NAMEADDRESS: CITY, STATE, ZIP CODE, COUNTRY
DATES FROM/TO (month, year)
YOUR JOB TITLE & YOUR SUPERVISOR’S NAME
REASON FOR LEAVING
DESCRIBE YOUR JOB DUTIES:
COMPANY NAME
ADDRESS: CITY, STATE, ZIP CODE, COUNTRY
DATES FROM/TO (month, year)
YOUR JOB TITLE & YOUR SUPERVISOR’S NAME
REASON FOR LEAVING
DESCRIBE YOUR JOB DUTIES:
USE A SEPARATE SHEET IF NECESSARY
FINANCIAL NEED & WHIRLY-GIRLS EXPERIENCE
Why do you need this financial assistance? Please be specific.
If you are provided discounted or free access to helicopter flight time or instruction, please explain.
When did you join the Whirly-Girls? (month & year, if known)
If you have received a Whirly-Girls Scholarship in the last 4 years, please list.
What have you done to support and promote the Whirly-Girls organization? (Volunteered at HELI-EXPO or WAI in the merchandise booth or on committees; served as a board member, mentored a Whirly-Girl or female pilot; hosted a WHOW or hovering, etc.)
Which Whirly-Girls Annual Meetings, WHOWs, or hoverings have you attended in the past 10 years? (Please indicate dates and locations.)
PERSONAL INTERESTS AND ACCOMPLISHMENTS
Honors / Awards / Scholarships received:
Organizations with which you are affiliated:
Activities, hobbies, interests:
Involvement in aviation-related activities:
What achievements / contributions have you made in aviation?
How have you helped other women become interested in aviation?
What originally sparked your interest in the helicopter industry?
STATEMENT OF UNDERSTANDING
● Winners must provide the Scholarship Director a plan by no later than July 31, 2018, to use the scholarship prior to December 31, 2018. If a plan is not received by July 31, 2018, then the scholarship will be given to the next qualified applicant. Scholarship training must be started by December 31, 2018.
● Winners must sign a contract saying she will abide by all scholarship rules.
● Winners will write an article for the Collective Pitch newsletter in the scholarship year of their selection and volunteer at least 5 hours to the organization.
● By entering my name on this line, I understand that if training is not completed within this allotted time, the scholarship winner agrees to repay all used funds to the Whirly-Girls Scholarship Fund.
Name: ______
Signature: ______
Date: ______
APPLICATION FEE
Application Fee: $50 USD
Payment may be made by one of three options:
1. PayPal – www.whirlygirls.org
2. Credit Card – type information & sign here
____ Master Card ____ VISA (We do not accept American Express or Discover at this time)
Name on the Card:
Card Number:
Expiration Date: ( / ) CVV: ______Zip Code: ______
Signature:
3. Personal Check or Money Order - USD only, U.S. banks only
Check Number:
- Email image of check or money order & include your WG# or Associate#.
- or mail the check to: Ann Lockwood
Whirly-Girls Treasurer
Whirly-Girls Scholarship Fund, Inc.
501 Bridgewater Drive
Greenville, SC 29615
Please print this page, sign it, and scan it.
Email all documents, images to .
If you prefer to mail all of the application documents, send them here:
Alison Martin
Whirly-Girls VP of Scholarships
8020 Fallbrook Pace NW
Albuquerque, NM 87120
USA
Personal_Information_Doc_ September_2017
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