APPLICATION FOR THE EAA VERMONT CHAPTER 613

   EAA AIR ACADEMY  BASIC AND ADVANCED CampS

SUBMIT BY APRIL 15.

 

Last _________________________First _________________________Middle _________

 

Street ____________________________________________________________________

 

City _________________________State _________________________ Zip____________

 

Home Phone: (____)______________ Age: ______________ Date of Birth: ____________

 

 

Please provide a short essay on why you would like to attend the  EAA Air Academy, Basic Camp or the Advanced Camp. 

 

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APPLICANT'S SCHOLASTIC INFORMATION

Please list classes and grades for the last school period completed

Class/ Grade

1. ________________________________    2.  ______________________________________

3. ________________________________    4.________________________________________

5. ________________________________    6.________________________________________

 

I attest the above statements are true to the best of my knowledge .

 

 

Signed  ___________________________

 

 

Signature of Parent (If under 18) 

 

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