Personal Information:

Last Name: _______________________ First: _________________ Middle: _______________

Street Address: ________________________________________________________________

City: _____________________________________________ State: _____ Zip: _____________

Phone: ___________________ E-mail: _____________________________________________

If currently employed:

Name of Employer: _______________________________ Phone: _______________________

High School currently attending:

Name: _________________________________________

Counselor's Name: _______________________________

Counselor’s Phone: _______________________________

Please answer the following three questions on a separate piece of paper.

1. What are your goals in the field of aviation and how would receiving a scholarship help you to realize these goals?
2. What significant person or event in your life has been a major influence in your decision to pursue a career in aviation?
3. List and describe other activities and experiences directly related to the field of aviation.

Along with your application, please submit two letters of recommendation. These may be from your school counselors or teachers, employers, neighbors or other members of the community.

Please submit all application materials to:

Chris Hanly Memorial Aviation Scholarship

c/o Carol Hanly

1144 Bitterroot Lane

Marion, MT 59925

carolhanly@gmail.com

Deadline for application is April 1^st