Clay Lacy Professional Maintenance Scholarship To apply: October 18, Student Information School Information

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Clay Lacy Professional Maintenance Scholarship North Valley Occupational Center Aviation Center Aviation Mechanic students enrolled in the Aviation Center are invited to apply for Clay Lacy Scholarships. awards scholarships to deserving students who have 80% attendance and demonstrate higher education aspirations. To apply: Complete and submit this application in legible printing by October 18, 2018. Student Information Last Name First Name MI Address City/State Zip Home Phone ( ) Cell Phone ( ) Date of Birth Email School Information Name of Instructor Classroom Number List extracurricular activities/organizations or clubs you participate in: List Honors, Awards and Recognitions you have received in the past: List Non-School Affiliations or Activities:

List colleges or universities you are interested in attending to continue your career in the Aviation industry. 1 2. 3. What is your college Major? Essay Instructions Essay - Using a computer, write about your goals when finishing the Aviation Mechanics Program at North Valley Occupational Center. Photo Authorization & Release Form North Valley Occupational Center/Aviation Center requests your permission to reproduce through printed, audio, visual or electronic means this activity in which you have participated. By signing, you consent to allow NVOC-AC the right to use photographs, audio and/or video with your image for not-for-profit purposes. I hereby understand and grant NVOC-AC to use my photograph and/or video. Print Name of Parent/Guardian if Applicable Signature of Parent/Guardian If Applicable Date Print Student s Name Signature of Student Date Note: Additional and LAUSD Publicity Authorization and Release forms must be completed, signed and submitted with this scholarship application. 2

Documents to Submit 1. A completed Scholarship Application Form 2. Signed and LAUSD Photo Authorization and Release Forms 3. Personal statement essay (see page 2 of the application) Applicants invited to interview for the scholarship will be informed by email or telephone by November 2, 2018. Please mail completed application package to: Refugio Rios, Assistant Principal, Operations 16550 Saticoy Street, Van Nuys, CA 91406S OR Deliver the completed application with the signed Released Forms by October 18, 2018. The scholarship review and selection process will take place from October 22, 2018 through October 31, 2018. The Clay Lacy scholarships will be awarded on Thursday, November 8, 2018 at the Annual Veteran s Celebration and Clay Lacy Awards Ceremony at the Aviation Center. For more information: Refugio Rios or email rxr1167@lausd.net 3

Clay Lacy To: From: Subject: Aviation Mechanic Instructors Refugio Rios, Assistant Principal, Operations 2018 Scholarship Application Process I. Qualifications 1. Enrollment in an Aviation Course at North Valley Occupational Center/Aviation Center 2. A High School Diploma or equivalent, or presently working toward either 3. Good academic standing 4. Attendance of 80% or better (no excessive absences) II. Award Amount Amounts will be determined at the time of Scholarship review and selection process. Awards will be for tuition, books, tools, and/or FAA testing fees. III. Application Process Students are to turn-in the following: 1. A completed Scholarship Application Form 2. Signed Photo Authorization and Release Forms 3. Typed Essay IV. Due Date - October 18, 2018 PLEASE MAIL OR DELIVER APPLICATIONS TO: Refugio Rios Aviation Center 16550 Saticoy Street Van Nuys, CA 91406 V. Class / Interviews Selected students will be informed of interview date. Questions If you have any questions, please call Refugio Rios or email rxr1167@lausd.net 4

About Clay Lacy An airline captain, military test pilot, air race champion, aviation record-setter and aerial cinematographer, Lacy has accumulated more hours flying jets than anyone on Earth. He has logged 50,000 flight hours in more than 300 aircraft types, set 29 world speed records and performed over 2000 film missions. In 2010, the Federal Aviation Administration presented Lacy with a Wright Brothers Master Pilot Certificate in recognition of his aviation expertise and safe operations for over 50 years. The same year, he was inducted into the National Aviation Hall of Fame for his legendary achievements as an air pioneer. Download his book Lucky Me for more great stories and photos of Clay s legendary career. About Founded in 1968 by legendary aviator and industry pioneer Clay Lacy. Today, Clay Lacy Aviation is considered the world s most experienced operator of private jets. Prominent individuals and leading corporations trust Clay Lacy for aircraft management, charter, sales, acquisitions, maintenance, avionics, interiors and FBO services. The company operates fullservice, fixed-base operations and part 145 repair stations at Van Nuys Airport in Los Angeles and Boeing Field in Seattle. Regional offices and aircraft operations are located in an additional 14 U.S. cities. The expert Clay Lacy team is recognized by aircraft owners and jet travelers worldwide for superior safety, service and value. Visit www.claylacy.com 5