YOUTH IN AVIATION (YIA)
Student Application

NAME        _________________________________________

ADDRESS _________________________________________

_________________________________________            

PHONE        _____________________   

DATE OF BIRTH        ________________

GRADE LEVEL FALL 2007__________   SCHOOL _______________________________________

Have you attended an Aviation camp before? _________  When & Where:___________________________

STUDENT:  I will attend the full program.  I have read and agree with the Youth in Aviation guidelines.

Student Signature _______________________________Date________

PARENT/GUARDIAN NAME ___________________________________

ADDRESS          ________________________________________

        ________________________________________

HOME PHONE ____________________WORK PHONE _________________

As the parent/guardian, I certify that my child has permission to participate in the Youth in Aviation camp.  My child
will attend the full program and can be removed for inappropriate conduct.

PARENT/GUARDIAN SIGNATURE ________________________________  DATE ________________

COMPLETION OF THIS SECTION IS VOLUNTARY AND USED TO DETERMINE HOW WELL THE PROGRAM
SERVES ALL SEGMENTS OF THE POPULATION.

MALE__________FEMALE___________

AFRICAN AMERICAN_______NATIVE AMERICAN_______HISPANIC________

CAUCASIAN______________ASIAN AMERICAN___________OTHER_______________

LOGISTICS:  Applicants will be notified of selection by July 11, 2007.   Students/parents are responsible for
transportation to and from the program.  Transportation for field trips is provided.  Food and snacks are included.

STUDENT PROFILE:  NAME______________________________________________
[YOU MAY ATTACH ADDITIONAL INFO, SUCH AS REFERENCES, RESUME, ETC.]

  • RELATE ANY SPECIAL INTERESTS THAT YOU HAVE RELATING TO AVIATION.







  • LIST SCHOOL AND COMMUNITY ACTIVITIES OF THE PAST 2 YEARS.








  • DESCRIBE JOBS OR DUTIES AT HOME OR SCHOOL THAT DEMONSTRATE YOUR COMMITMENT TO A
    TASK.







  • WHAT ARE YOUR CAREER GOALS?








  • WHY DO YOU WANT TO ATTEND YOUTH IN AVIATION CAMP?
YIA Home
YIA Online Application
YIA Goals & Guidelines
This form must be printed, mailed, signed by the parent/guardian and submitted by Feb 15, 2008.  
ELIGIBILITY:  Participants must be students between the ages of 12-18.  Include the $25.00 fee with
application.