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AWAM Awards |
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AWAM Award Application
All applicants must be a member of AWAM.
Please provide TWO copies of all information.
Submit a separate application for each
award.
Postmark by December 31.
Check one:
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□ Mary Ann Eiff Teacher of the Year |
□ Student of the Year |
□ Beyond All Odds |
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Name |
Home phone |
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Address |
Work phone |
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City |
State or Prov. |
Postal code |
Fax |
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Country |
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Nominated by: |
| AWAM Member Number: | Social Security Number: |
Please submit the following items on separate paper.
Qualifications: Please list any applicable licenses and certificates.
Education: Please list
1. High School - Location and dates
2. Any Colleges or Trade Schools - Location, Date and Major course of study.
Work Experience: Please list type and dates of employment.
Community Service, Leadership, and/or Extracurricular Activities.
Honors for Scholastic Achievement and/or Achievement in Community Service, Leadership and Extracurricular Activities.
A brief statement regarding why the nominee is deserving of his award.
The undersigned hereby applies for the an Association for Women in Aviation Maintenance Award. The undersigned applicant attests that the above information is true, correct and accurate. The undersigned further authorizes the Association for Women in Aviation Maintenance staff or representative to verify the information by contacting any of the above listed persons or organizations and releases them from any claim or liability for information provided in accordance with the authorization.
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Signature: |
Date: |
Please send all applications to:
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AWAM Awards |
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(for
planning purposes only) Will you be able to attend the award ceremony?
YES ____ NO ____
