Academic Scholarship Application Form • Chicago Executive Pilots Association

Step 1 of 2

Eligibility Confirmation *

I am an Illinois resident
I am attending or accepted as a full-time student at an accredited university, college, or aviation technical school, located in the state of Illinois, pursuing a course of study in a recognized professional aviation program
I am a sophomore, junior, or senior
I have at least a GPA of 2.5 (based on a 4.0-grade point system)

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Parents/Guardians (if under 21 years old)

Parent/Guardian Address (if different than applicant)

Address Line 1

Address Line 2

City

State

Zip Code

Academic Information

Aviation Program School (current or intended): *

Degree Program *

2-Year Program
4-Year Program
Other

Current School Attending *

Put "Same" if same as "Aviation Program School," above

School Address

Address Line 1

Address Line 2

City

State

Zip Code

Primary Instructor/Counselor *

Primary Instructor/Counselor Phone

Current Grades for Courses Not Included on Transcript

Class 1

Grade 1

Class 2

Grade 2

Class 3

Grade 3

Class 4

Grade 4

Class 5

Grade 5

Class 6

Grade 6

Career Goals and Supporting Information

Career Goal

Please write about yourself *

Please write about yourself, your activities in school, community, activities and experiences related to aviation, your life goals, financial need, what you have accomplished on your own, and how receiving this scholarship will help you realize these goals.

Letters of Recommendation *

I acknowledge recommendation requirements

Please provide one or more letter(s) of recommendation by individuals who is not a family member and can attest to your character, work ethic, and seriousness of purpose. Ask this person to complete the recommendation form at: https://pwkpilots.org/scholarship-recommendation

Transcript File Upload *

Click or drag files to this area to upload. You can upload up to 4 files.

Transcripts for the most recently completed term from attending school.
Please be sure your name is part of the file name(s), e.g. "Smith-transcript-SIU.pdf".

Certificates of achievement, flight training documents, FAA certificates, etc. (multiple files allowed)

Click or drag files to this area to upload. You can upload up to 5 files.

Any certificates of achievement, honors, etc. If you are in a flight training program, provide a copy of your current FAA medical certificate and/or pilot certificate, as appropriate. Please redact/black-out/hide any sensitive information, e.g. social security number, birth date, etc.
Please be sure your name is part of the file name(s), e.g. "Smith-pilot-certificate.pdf".

Proof of residency (please redact/hide any sensitive data (birth date, SSN, etc.) *

Click or drag a file to this area to upload.

You must be an Illinois resident, attending or planning to attend an accredited university, college, or aviation technical school located in the state of Illinois, pursuing a course of study in a recognized professional aviation program. Please redact/black out/hide any sensitive information, e.g. driver license number, birth date, etc., before uploading.
Please be sure your name is part of the file name(s), e.g. "Smith-drivers-license.pdf".

Checkboxes *

I agree

All materials submitted with this application are subject to review and confirmation with the applicant’s school, references, and any other verification deemed appropriate by PAPA.

Typed Signature of Applicant *

By typing my name above, I agree that I am applicant of this scholarship and have freely and voluntarily provided the supporting documentation and to the terms and conditions of this application.

Date of Submission *

Phone