Scholarship Application Form

All Scholarship Applicants, We are committed to helping you with your future career endeavors. This scholarship is tailored to provide assistance to help eligible applicants achieve their career goals. If you are eligible for a scholarship, please complete all information on the scholarship form, upload pertinent information in .doc, .docx, .pdf, .ppt, .pptx formats. File size cannot exceed 200KB. The USABAA Scholarship team will review all scholarships. The scholarship winners will be notified based on the contact data on the scholarship application form. Good Luck!!

USABAA Scholarship Application

The United States Army Black Aviation Association, Inc. (USABAA)

Students: Please be prepared to have the following required information:*
Essay about your school activities, community involvement, work experience, or any other relevant information.

Student Information

First Name* Middle Name Last Name*

Street Address* City* State / Province / Region*

Postal Zip Code* Country / Region*

Home Phone Number* Cell Phone Number*

Student Email Student Date of Birthdate Age of Student

Gender of Student Male Female

Nationality* I am a US Citizen I am NOT a US Citizen

Ethnicity* African American Asian Caucasian Hispanic Native American Other

Student Educational Information

Name of School* School Street Address* School City*

School State / Province / Region * School Zip Code*

Country / Region*

Level of Education Telephone Number of Your School

What is Your GPA?

Are you are planning to attend college or join the military within the next 18 months?* Yes No

If yes, which College or branch of the Military?

What is the status of your College or Military selection?

Desired Major

Please upload the required documents.

Please tell us about your school activities, community involvement, work experience, or any other relevant information. The file types allowed are: (pdf, docx, doc, ppt, pptx)

Primary Parent/Guardian Information

Primary Contact Relationship to Student* Primary Contact Phone Number*

Primary Contact First Name* Primary Contact Last Name*

Primary Contact Street Address* Primary Contact City

Primary Contact State / Province / Region Primary Contact Zip Code

Country / Region Primary Contact Email

Secondary Parent/Guardian Information

Secondary Contact Relationship to Student Secondary Contact Phone Number

Secondary Contact First Name Secondary Contact Last Name

Secondary Contact Street Address Secondary Contact City

Secondary Contact State / Province / Region Secondary Contact Zip Code

Country / Region Secondary Contact Email

Applicant's Statement*

*PLEASE READ CAREFULLY BEFORE SIGNING* *MUST BE SIGNED BY STUDENT AND AT LEAST ONE PARENT/LEGAL GUARDIAN)* We hereby certify that all of the information provided by the student applicant and parent/legal guardian in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. We understand that the falsification, misrepresentation or omission of any facts in this application or other related documents will be cause for denial of scholarship awards.

BY SIGNING BELOW STUDENT APPLICANT AND PARENT/LEGAL GUARDIAN ACKNOWLEDGE, UNDERSTAND AND AGREE TO THE ABOVE STATEMENTS. YOUR TYPE WRITTEN NAME REPRESENTS YOUR SIGNATURE.

Student / Applicant Signature*

Date of Student's Signature*

Parent / Legal Guardian Signature* Date of Parent / Legal Guardian's Signature*