<p> 2009 FRAN SARGENT SCHOLARSHIP Florida Goldcoast Chapter of the Ninety-Nines, Inc.</p><p>AMOUNT: Maximum of $2,000.00 to be used for an FAA certificate or rating, college program or other worthwhile aviation endeavor.</p><p>ELIGIBILITY: Open to any woman with at least a private pilot certificate who is a resident of Florida or a woman who is a private pilot currently enrolled in an aviation training program in Florida.</p><p>SELECTION CRITERIA: The recipient of the scholarship will be selected by a committee consisting of judges active in aviation. The decision of the Scholarship Committee is final. If no qualified applicant applies, the Scholarship Committee reserves the right to withhold the scholarship.</p><p>Applications are judged on: Demonstration of financial need, desire to pursue a career in aviation and/or ability to be an ambassador representing women in aviation, likelihood of success at reaching your goals, and neatness & completeness of the application package.</p><p>APPLICATION REQUIREMENTS: Write a letter describing your education, aviation training and experience, aviation organizations, employment and/or educational history. List activities in which you participate and organizations to which you belong (not necessarily just aviation oriented). </p><p>Include a statement of your educational purpose and/or aviation goals. Tell us about yourself, your goals and why you chose aviation, including special qualifications you may have. Indicate FAA certificate or rating, college degree or other goal that you will attain using this scholarship. </p><p>Describe your financial need and how you will meet the cost of attaining your goal beyond the scholarship funds. Indicate if spouse, parents or other individuals are contributing to your costs of training. Include your amount of income earned in 2008 and any other scholarships or grants earned in 2008 and 2009.</p><p>Provide two current letters of reference— at least one from an employer, instructor or other appropriate person. Include copies of your FAA certificates, ratings, last two pages of your logbook and other pertinent documents. Complete the two-page application. </p><p>DISBURSEMENTS OF FUNDS: Attainment of your stated goal must be completed by October 31, 2010. Two partial payments for expenses incurred may be provided before the final payment. The Sargent Scholarship Trustees of the Florida Goldcoast Chapter of the Ninety-Nines will be responsible for disbursing the funds. </p><p>Send completed application packet and 4 copies to be received by October 31, 2009, to: Ursula M. Davidson For assistance or more information contact 880 N.E. 69 St., #4F Ursula at [email protected], Miami, Florida 33138 305-757-2957</p><p>The scholarship will be presented at the December meeting of the Florida Goldcoast Chapter of the Ninety-Nines. The winner will provide a photograph of herself for publication. 2009 Fran Sargent Scholarship Application</p><p>______Last Name First Middle Pilot Certificate Number</p><p>______Present Street Address City State Zip Home Telephone Number</p><p>______Permanent Street Address City State Zip Birth Date and Place</p><p>______E-mail Address Cell or other Phone Number</p><p>______Applicant’s Employer & Supervisor Supervisor’s Position</p><p>Average Number of hours worked per week ____</p><p>______Employer’s Address Employer’s Phone Number</p><p>______If under 18 yr., Full name of Parent/Legal Guardian Relationship</p><p>______Address of the above referenced individual Telephone Number</p><p>FAA Certificates: List all certificates, including dates received and types of aircraft. Include copies of all certificates, BFR & last 2 pages of logbook. ______Total Time ______PIC ______Dual ______within Last 6 Months ______</p><p>Education Background: Highest Academic Degree ______Name of Academic Institution ______Graduation Date(or expected graduation) ______Students: # of hours per term _____ Include copies of diploma or transcripts. Fran Sargent Scholarship Application--Page 1of 2</p><p>I certify that I am a current Florida resident or enrolled in a Florida aviation training program.</p><p>Members of the Ninety-Nines International Women’s Pilot Organization indicate chapter affiliation ______</p><p>I will use the funds of this scholarship for ______(Rating, etc)</p><p>Neither the Florida Goldcoast Chapter of the Ninety-Nines, Inc., its members, agents or representatives, are responsible for, nor liable for, the quality of any training, incident, or any other event which may occur while the recipient of the Fran Sargent Scholarship is performing flight training or activities relating thereto. </p><p>The applicant signature below indicates agreement to this disclaimer and declares that the information given in this application is true and correct. The applicant understands that this Scholarship will only be used for the purpose for which the applicant is applying.</p><p>In order to receive final disbursements of funds the Scholarship winner must provide a copy of the certificate or other documentation of goal attained with this Scholarship.</p><p>______Signature Date ______Print Name</p><p>______If under 18 years of age, signature of parent or legal guardian ______Print Name</p><p>Send original and four copies of the application requirements and this two-page form to be received by October 31, 2009 to: Ursula M. Davidson For assistance or more information contact 880 N.E. 69 Street #4F Ursula at [email protected], 305-757-2957 Miami, FL 33138 or at the address given. Fran Sargent Scholarship Application—Page 2 of 2</p>