Please Note: This is a sample application for viewing purposes only. This application cycle is currently closed.


Sponsor: Pathways Flight Academies

Program: Pathways Flight Academies

Pathways Flight Academies

Applicant Information
First Name:
Middle Name:
Last Name:
Preferred Name:
e-mail:john.doe@nonexistentbox.com
Birthdate:
Cell Phone:
Are you a US Citizen?   
Are you a male or female student?   
What is your high school grade level?
Are you a Virginia Resident?   
Potential COVID Protocols:
Depending on the status of the current pandemic, program participants will be required to follow guidelines set by the VSGC and the Academy site to ensure the safety of all participants. These guidelines could potentially include providing proof of vaccination, wearing masks, social distancing, and pre-program COVID testing.
Will you be able to provide proof of vaccination and booster if required?    
Legal Guardian Information
Name:
Relationship to Student:
Address:
,  
Cell Phone:
Email:
Flight Academy Information

The dates for the flight sessions will be 12-day periods between June 19 – and August 5, 2022. Selected participants will be given the chance to indicate their best availability and preference for their particular session after they have confirmed their overall participation. Note that we cannot guarantee that all preferences will be met. Once assigned to a specific flight session, participants must commit themselves to this entire 12-day time period of that session in order to participate in the Pathways Flight Academies

I confirm that I have no other time commitments between June 19 – and August 5, 2022 that would preclude my involvement in this program.    

Do you currently have an FAA Medical Certificate?    
Students who are accepted into this program will be required to obtain an FAA Medical Certificate before they arrive at their assigned session.
Are you able to obtain the medical certificate prior to the flight Academy?   
Note: Typical cost for this physical is $120. Arrangements can be made to a assist students without means to cover this cost.
Will you be 16 prior to the start of your session?    
Have you ever participated in past VSGC Programs?    
Please list any prior aviation experience here:
High School Information
School Name:
School Address:
,  
GPA:
Note: 3.0 GPA Required: Please attach an unofficial high school transcript with your application. Your official transcript will be requested upon selection.
Transcript:
(PDF format)
List all extra-curricular activities, organizations, and honors:
References
As part of your application you are required to provide two letters of recommendation from individuals who are not relatives. One reference must be from a teacher, school administrator, or counselor who can attest to your academic qualifications. The second should be a character reference from whomever you choose. When you submit your application, the application system will forward the letter of recommendation form to your selected references. Your references will submit the completed form directly to this system via an online form. You are responsible for ensuring references have been received by your chosen references, completed in a timely manner, and submitted before the deadline of Friday, March 11, 2022.
Reference 1
Full Name:
Relationship to Student:
Institution:
Phone:
Email Address:
Confirm Email Address:
Reference 2
Full Name:
Relationship to Student:
Institution:
Phone:
Email Address:
Confirm Email Address:
After your application is submitted, both of these individuals will receive an email request from notices@spacegrant.net for this information on your behalf. Reference letters are due by Friday, March 11, 2022.
Essay
Please complete an essay in your own words using the following questions:
  1. Describe yourself to us: your academic strengths, interests, and personal characteristics.
  2. What kind of extra-curricular activities or hobbies have you engaged in that are meaningful to you?
  3. Tell us about any past aviation experiences and goals you have towards a career in as a commercial or military pilot.
  4. Explain why you wish to participate in a Pathways Flight Academy and how participating would impact your career goals as a commercial pilot.
Note: This essay is a critical component in the selection process. It is your chance to present yourself to the selection panel. Answer all questions completely in your essay. Please use approximately 500-600 words.
Additional Information
How did you hear about this program?
Do you have plans to pursue your private pilot’s license?    
Please describe your plan
Optional Information
Students are strongly encouraged to provide the information requested below. This information is collected for federal reporting purposes only and is not accessible to the program's selection panel.
Ethnicity:
Race:
Certification by Student
I certify that I am a U. S. citizen and that my answers are true and complete to the best of my knowledge.

If this application leads to my selection, I understand that false or misleading information in my application or interview may result in my disqualification from participation.


Student Name:
Certification by Legal Guardian
I fully support my student's participation in the Pathways Flight Academy. I will be responsible for transportation to and from the flight training sessions for my student.

I understand that, if selected, my student will be required to participate in a 12-day in-person flight session in June, July, or August 2022 without interruption for the time period of their session, to be assigned later. Additionally, an FAA medical exam will be required prior to the start of the academy with a cost of approximately $120. You should review the following site (https://www.faa.gov/licenses_certificates/medical_certification/) to determine if you may have any flight restricting medical conditions before applying. If there is a financial hardship, VSGC may be able to cover the cost.

An email will be sent to the student and legal guardian's email, confirming the student's application.


Guardian's Name:
Please Note: This is a sample application for viewing purposes only. This application cycle is currently closed.