1. Applicant Information

Legal name Preferred name (if different) Residential street address City State ZIP code County of residence Mailing address (if different) Telephone Email address Date of birth Preferred contact method

Applicant acknowledgments

Work authorization status, if required by applicable program rules I will provide requested eligibility documents

2. Indian / Native Eligibility

Tribe / Native entity / eligibility basis

Native eligibility category

American Indian Alaska Native Native Hawaiian Other category permitted under WIOA Section 166

Documentation expected to be provided

Tribal enrollment or membership Tribal ID establishing qualifying status CDIB BIA documentation Written Tribal / Native entity verification Alaska Native documentation Native Hawaiian documentation Other DOL-permitted documentation

3. Service-Area Residence

Current Kansas county of residence

Residence documentation available

4. Employment and Workforce Status

Current employment status

Current or most recent employer Current or most recent job title Approximate weekly hours Approximate hourly wage or annual earnings (if requested) Employment start / end dates

Potential workforce eligibility basis (NAAA determines eligibility)

5. Education, Training and Credentials

Highest education completed

Most recently attended institution Field of study / program Current licenses, certifications, FAA credentials, or technical credentials Relevant work, military, aviation, mechanical, manufacturing or technical experience

6. Proposed Aviation / Aerospace Training

Requested training pathway

Other pathway (if selected) Anticipated start date Career or occupational goal after training Why is this training necessary to reach your employment goal? What skills, education, credentials or experience will this training provide that you currently lack?

7. Workforce Need and Barriers

Barriers do not automatically determine eligibility. This information helps NAAA assess support needs.

Circumstances that may affect training or employment

Most significant workforce or training need What could prevent or delay completion without assistance? What career improvement do you expect after training?

8. Training Costs and Other Assistance

Estimated total training cost, if known

Other assistance applied for, received or available

Sources and estimated amounts Estimated remaining training need Specific costs for which NAAA assistance is requested

9. Federal Student Aid (FAFSA)

The Free Application for Federal Student Aid (FAFSA) may help you qualify for additional educational assistance, including federal grants. FAFSA completion is not a requirement to apply for an NAAA scholarship.

Have you completed a FAFSA application for the academic year in which you plan to begin training?

Yes No Not sure

If you have not completed FAFSA, would you be willing to complete it to explore additional financial assistance?

Yes No I would like additional information or assistance Already completed

Learn more at StudentAid.gov. Do not enter financial account information or Social Security numbers in this application.

10. Veteran / Eligible Spouse Priority

Priority information

Veteran Eligible spouse Neither / not claimed Prefer to discuss with case manager

Documentation available, if applicable

11. Availability and Ability to Participate

Participation circumstances

I can meet the anticipated training schedule I may need scheduling assistance / accommodation I can reliably travel to required training Transportation assistance / referral may be needed I understand attendance and progress will be monitored

Schedule, transportation, family or other participation issues to consider

12. Applicant Career Statement

Why do you want to enter or advance in aviation / aerospace? What type of job do you hope to obtain after training? Where do you hope to be professionally 12 months after completing the program?

13. Certifications and Authorizations

Applicant certifications — review and check each applicable statement

I certify the information is true and complete I understand NAAA may request documentation to verify eligibility and outcomes I authorize verification with WSU Tech or other approved partners subject to privacy rules I understand materially false information may lead to denial or termination I understand applying does not guarantee selection or assistance If selected, I agree to case management, progress reporting and follow-up

Typed applicant name Certification date

By entering your name and submitting this form, you affirm the certifications selected above. NAAA may request additional verification or a separate signature. Staff-only eligibility and award authorization sections are not part of this application.

Aviation Workforce Development Scholarship Application