Last Name           First Name           Email      

Phone (optional)

City:      State :      ZIP:

High School Name         Your Grade Level Freshman Sophmore Junior Senior

.

Does your high school have an aviation club now?  Yes No Not Sure


If not, would you like to have one? Yes No


Approximately how many students are in your high school? 
 

Are you willing to help organize an aviation club in your high school?  Yes No Not Sure

Are you interested in aviation as a career, hobby or both?  Career Hobby Both

 What are you doing now to persue your aviation interests?

How can we help you?