Rnasa high School Senior Scholarship Application 2017-2018



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Rotary National Award for Space Achievement


RNASA High School Senior Scholarship Application 2017-2018


The Rotary National Award for Space Achievement (RNASA) Foundation will award a $2,500 scholarship to two graduating Texas high school seniors who (1) completed the Texas High School Aerospace Scholars On-Site Summer Program at the Johnson Space Center in Houston, (2) plan to pursue a career related to aerospace and (3) are U.S. citizens at the time of application. Scholarship funding requires acceptance of the student to a four year college or university for full-time enrollment.  Preference is given to students majoring in one of the four STEM areas. Applicants will be required to submit (1) a completed application form, (2) high school transcripts, (3) a list of honors, awards, achievements and community service volunteer activities, and (4) a one page essay describing why the student is pursuing a field related to aerospace and intended career goals.

Eligibility Requirements

  • Applicant must have competed the Texas High School Aerospace Scholars On-Site Summer Program at the Johnson Space Center in Houston, TX.

  • Applicant must be pursuing a career related to aerospace.

  • Applicant must be a U.S. citizen at the time of application.

  • Applicant must have an overall grade point average of 3.5 or above (on a 4.0 scale).

  • Applicant must be graduating high school at the end of the spring semester 2017.

  • Applicant must plan to be enrolled full-time in an accredited U.S. college or university immediately following his/her high school graduation. Acceptance must be documented before awards will be funded.

  • Preference will be given to students majoring in one of the four STEM areas.

  • Preference will be given to students with demonstrated honors, awards, achievements, and community volunteer service.

  • Only one application is to be submitted per applicant. Additional submissions will not be reviewed by the RNASA Scholarship awarding committee.

  • If a scholarship is not accepted by, or cannot be awarded to a primary recipient, a secondary recipient will be selected by the RNASA Scholarship Awards Committee.


Instructions to Apply

Complete all portions of this application –make sure to include all of the following items (typed or in black ink).




  • Completed Application Form.




  • A copy of high school transcript with GPA converted to a 4.0 scale




  • Provide a one to two page resume listing school activities, community involvement, and any special honors, awards or achievements while in high school. Be sure to indicate description and dates of involvement for each activity, positions of leadership held, and dates or awards/recognitions. You may also indicate work experience during high school, identifying the name of the employer, employer address and telephone number, position held, brief description of responsibilities, and dates of employment. This resume should be in order of most recent listed first.




  • A one-page essay that describes why the applicant is pursuing a field related to aerospace along with short and long term career goals. The essay must be typed; 1.5 spaced, and on letter sized paper.



  • Submit the completed application and one-page essay to (email address to be provided once we complete our email migration) by May 1, 2017. Please note that incomplete applications will not be considered.

Selection and Notification

The RNASA Scholarship Committee will make the selection of the scholarship winners. Recipients will be notified in June by email and/or US mail.


Applicants who receive the RNASA scholarship must provide proof of current enrollment from their chosen education institution to the RNASA Scholarship Committee by October 31, 2017. Please mail your proof of enrollment after your school’s census day to P.O Box 58009, Houston, Texas 77258-8009. Upon receipt of the above, a check for the scholarship amount will be sent directly to the educational institution.
STUDENT INFORMATION
Full Legal Name_______________________________________________________________

(Last) (First) (Middle)


Permanent Address ____________________________________________________________

(Street) (City) (Zip)


Telephone _____________Date of Birth: ______________ Graduation: _____________
E-mail:_________________________________________________________________________

(Please provide an email that is current and viewed regularly)


High School Name: _______________________ High School District: _______________________
Current GPA on 4.0 scale: _______________ Current Weighted GPA: __________
Dates Attended the Texas High School Aerospace Scholars On-Site Summer Program at the Johnson Space Center in Houston: __________________________________________________________
Name of the university or college you have applied to/been accepted to: _______________________
Date of Acceptance (mm/yy): ______________ Major: ___________________________________
Are you a U.S. Citizen? Yes ☐No ☐
PARENT INFORMATION
Parent/Guardian Name ___________________________________________________________________

(Last) (First) (MI)


Parent/Guardian Address _______________________________________________________________

(Street) (City) (Zip)


Telephone _______________________________________________________________

(Home) (Cell)


Parent’s Email ____________________________________________________________

Applicant and Parent Certification

I hereby certify that the information provided above to the RNASA Scholarship Committee is true and correct.

______________________________________ ______________________________________________

Signature of student Signature of parent/guardian


_________________________________ ____________________________________

Date Date



Photo and Video Release
If I am chosen for a scholarship, I hereby authorize the RNASA Foundation to publish any photographs taken of me, and my name, for use by RNASA in press releases to the media and on the RNASA website. I acknowledge that since my authorization is voluntary, I will receive no financial compensation. I further agree that my participation in photos or videos on behalf of RNASA confers upon me no rights of ownership whatsoever. I release RNASA, its members, officers and contractors, from liability for any claims by me or any third party in connection with my participation.

______________________________________ ______________________________________________

Signature of student Signature of parent/guardian
_________________________________ ____________________________________

Date Date




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