Ernest Groth/Aviation Heritage Center of Wisconsin Scholarship

Criteria and Requirements

SCHOLARSHIPS
Award Amount and Funds Distribution
Scholarship of $500 will be awarded.
The scholarship funds may be used to defray aviation related expenses at any school with
an FAA certified program.
Funds will be forwarded directly to the recipient.
Eligibility Requirements
The applicant must be a student in a Sheboygan County School District.
He/She must be a student preparing for an aviation-oriented career.
Documents to Be Submitted
A completed application form must be submitted.
Two (2) recommendations must be submitted with the application. One (1) of the
recommendations must be from an academic source such as a teacher.
A copy of the most recent grade transcript must also be submitted.
Forms are available at: www.ahcw.org
NOTIFICATION AND DISBURSEMENTS OF SCHOLARSHIPS
The recipient will be notified of the award by letter and telephone as soon as possible after
the award has been authorized by the Board of Directors
It will be the responsibility of the recipient to notify the selection committee upon successful
completion of the first semester or other agreed upon milestone. Provide a copy of the first
semester grades (or other acceptable documentation) to the selection committee.
A check will be mailed to the recipient upon successful completion of the first semester or
other agreed upon milestone.
The decisions made by the Board of Directors are final.

Ernest Groth/Aviation Heritage Center of Wisconsin Scholarship

Scholarship Application (to be completed by the applicant)

Name:

_________________________________________________________
(Last)

Home Address:

(First)

(Middle Initial)

_________________________________________________________
(Street Address)

_________________________________________________________
(City)

Phone: (___)______________ Email:

(State)

(Zip Code)

____________________________________________

Date of Birth: _________________

Name of school in which you will enroll: ____________________________________________
Mailing address: ______________________________________________________________
Year of school completed by June of current school year: ______________________________
Major: _____________________

Minor: ______________________

Career Interests: ______________________________________________________________

____________________________________________________________________________
____________________________________________________________________________
Please list below the two(2) persons as references who will send recommendations and state
their relationship to you. At leas one (1) must be a teacher who has had you in class:
____________________________________________________________________________
____________________________________________________________________________
List participation including offices held, awards, honors, etc. Include athletics and school
organizations:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

Other organizations, significant interests, hobbies and/or activities:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Briefly state, in your own words, the reasons you feel you deserve this scholarship. Please
include a discussion of your past accomplishments and you future goals as well as your
financial need.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
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Signature of Applicant: _____________________________

Date: ____________________

The completed application must include:

1. This form.
2. Two (2) completed recommendation forms or letter of recommendation.
3. Copy of most recent grade transcript.
Return the application, references and grade transcript to:
Aviation Heritage Center of Wisconsin Scholarship Application
N6191 Resource Drive
Sheboygan Falls, WI 53085

Ernest Groth/Aviation Heritage Center of Wisconsin Scholarship

Recommendation (to be completed by person other than the applicant)

_________________________________ is applying for a scholarship offered by The Aviation Heritage

Center of Wisconsin. You are listed as a reference on the application. The scholarship is to be used
toward an aviation oriented career.
Please feel free to write a letter either in place of, or in addition to this form. We assure you that any
information will remain confidential.
1. In what capacity have you known the applicant?

__________________________________________

__________________________________________________________________________________
__________________________________________________________________________________
2. What are the applicants strongest characteristics? __________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
3. What are the applicants weakest characteristics? __________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
4. If you are a teacher, what subject area(s) do you teach?
__________________________________________________________________________________
__________________________________________________________________________________
5. How do you rank the applicant in the following?
Imagination

Poor

Average

Good

Excellent

Initiative

Poor

Average

Good

Excellent

Responsibility

Poor

Average

Good

Excellent

Emotional Stability

Poor

Average

Good

Excellent

Leadership

Poor

Average

Good

Excellent

Ability to Work with Others

Poor

Average

Good

Excellent

Work Habits

Poor

Average

Good

Excellent

Self Motivation

Poor

Average

Good

Excellent

Intelligence

Poor

Average

Good

Excellent

Communication

Poor

Average

Good

Excellent

Please comment on any factors (assets, liabilities, circumstances, etc.) that you feel should be taken into
consideration in the evaluation of the applicant. If you need additional space, please attach another sheet.
____________________________________________________________________________________
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____________________________________________________________________________________
____________________________________________________________________________________
Recommender's Name: _________________________________________________________________
(Last)
(First)
(Middle Initial)
Address:

_________________________________________________________________
(Street Address)
_________________________________________________________________
(City)
(State)
(Zip Code)

Phone:

(____)____________________

Return the Recommendation to:

Aviation Heritage Center of Wisconsin Scholarship Application
N6191 Resource Dr.
Sheboygan Falls, WI 53085

Ernest Groth/Aviation Heritage Center of Wisconsin Scholarship

Recommendation (to be completed by person other than the applicant)

_________________________________ is applying for a scholarship offered by The Aviation Heritage

Center of Wisconsin. You are listed as a reference on the application. The scholarship is to be used
toward an aviation oriented career.
Please feel free to write a letter either in place of, or in addition to this form. We assure you that any
information will remain confidential.
1. In what capacity have you known the applicant?

__________________________________________

__________________________________________________________________________________
__________________________________________________________________________________
2. What are the applicants strongest characteristics? __________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
3. What are the applicants weakest characteristics? __________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
4. If you are a teacher, what subject area(s) do you teach?
__________________________________________________________________________________
__________________________________________________________________________________
5. How do you rank the applicant in the following?
Imagination

Poor

Average

Good

Excellent

Initiative

Poor

Average

Good

Excellent

Responsibility

Poor

Average

Good

Excellent

Emotional Stability

Poor

Average

Good

Excellent

Leadership

Poor

Average

Good

Excellent

Ability to Work with Others

Poor

Average

Good

Excellent

Work Habits

Poor

Average

Good

Excellent

Self Motivation

Poor

Average

Good

Excellent

Intelligence

Poor

Average

Good

Excellent

Communication

Poor

Average

Good

Excellent

Please comment on any factors (assets, liabilities, circumstances, etc.) that you feel should be taken into
consideration in the evaluation of the applicant. If you need additional space, please attach another sheet.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Recommender's Name: _________________________________________________________________
(Last)
(First)
(Middle Initial)
Address:

_________________________________________________________________
(Street Address)
_________________________________________________________________
(City)
(State)
(Zip Code)

Phone:

(____)____________________

Return the Recommendation to:

Aviation Heritage Center of Wisconsin Scholarship Application
N6191 Resource Dr.
Sheboygan Falls, WI 53085