FAWA Scholarship

Fleet AW Association

Applicant Name
Last Name	First Name	MI	E-mail

Permanent Address
Street Address	City	State	Country	ZIP Code

College Address (if applicable)

College

Status

Street Address	City	State	Country	ZIP Code

Parent Information

Last Name	First Name	MI	E-mail

Street Address	City	State	Country	ZIP Code

Status

Rank/Grade

FAWA Member
YesNo

Deceased?
YesNo

Please explain if the military parent was killed or died in the line of duty.

***Extracurricular School Activities***
	Nat'l Honor Society Band Chorus Key/Keyettes FFA Cheerleading Tutor Yearbook	Thespian Debate Math Club Science Fair Newspaper Radio Website Prom	Media/Library Aide Team Manager Lacrosse Field Hockey Softball Skiing Wrestling Soccer	Football Basketball Hockey Baseball Cross Country Track & Field Rodeo Swim	Other Activities

***Civic and Community Activities***
	Four H Scouts	Spiritual	Other Activities

***College Plans***
Which colleges have you applied? Accepted? Field of study? Yes NoUnknown Yes NoUnknown Yes NoUnknown Yes NoUnknown College you plan or hope to attend? Yes NoUnknown

***Class Officer***
Freshman Other	Sophomore Other	Junior Other	Senior Other

Please provide in the allowable space your goals for education, career, and life.

I acknowledge that the above information has been provided truthfully, honestly, and to the best of my knowledge. I understand that any misrepresentation of the information provided in this form constitutes complete and unconditional rejection of further consideration for scholarship application.

Applicant

Applicant's Parent(s)