2017 Navajo Airports Aviation Advancement Scholarship
Program Guide
Scholarship Details
In an effort to promote and encourage aviation careers among Navajo youth, and to grow our future leaders
in the aviation and aerospace fields, the Navajo Division of Transportation (Navajo DOT), in partnership
with Embry-Riddle Aeronautical University (ERAU) and Armstrong Consultants, Inc. (Armstrong), is
pleased to offer scholarship opportunities for four (4) Navajo students to attend and participate in the 2017
ERAU Flight Exploration Camps. The camps will be held at the Embry-Riddle Aeronautical University
Campus in Prescott, AZ. The scholarships includes tuition, materials, lodging and meals.
During this week-long residential program the student will:
Receive 4 hours of hands on flight instruction and 4 hours ground school instruction (weather
permitting)
30 minutes in an Advanced Aviation Training Device
Lectures on the latest technology in the aviation industry
Visit the program website for additional information at:
Flight Exploration: http://summercamps.erau.edu/camps/flight-exploration-prescott-az.html
Helicopter Exploration: http://summercamps.erau.edu/camps/helicopter.html
Next Level Flight: http://summercamps.erau.edu/camps/next-level-flight-prescott-az.html
Eligibility
U.S. Citizen
Enrolled member of the Navajo Nation, census number shall be provided by applicant
Age: 14 to 18 years of age
Currently attending high school
Must have a minimum of 3.0 on a 4.0 scale un-weighted GPA or be at least 80% in all courses.
Be available to attend one of the scheduled camp sessions:
Flight Exploration Alpha - June 4-9, 2017
Flight Exploration Bravo - June 11–16, 2017
Helicopter Exploration Camp: June 18-23, 2017
Next Level Flight (previously Advanced Flight) - June 25-30, 2017
How to Apply
Application Form, attached
1000-Word Applicant Essay answering the following three questions. (The essay must be a typed
document. The font may be no smaller than Times New Roman, 12 pt. Single or double spaced is acceptable.)
o How do you see the role of aviation benefiting the Navajo Nation today and in the
future?
o What are some skills you hope to learn from this program that can help you during the
school year?
o How will this opportunity contribute to your future educational and career goals?
Current Official Transcript(s)
Two letters of recommendation
o One from an instructor familiar with the student’s academic abilities; and
o One from a community advisor familiar with the student’s character, leadership ability, and
community involvement
Certificate of Indian Blood, which certifies the applicant’s enrollment with the Navajo Nation.
When and Where to Apply
Completed application packets are due no later than 4:00 p.m. on May 12, 2017.
Completed application packets shall be mailed or delivered to:
Arlando S. Teller, Deputy Division Director
Navajo Division of Transportation
P.O. BOX 4620
Window Rock, AZ 86515
ATTN: 2016 ERAU Summer Flight Exploration Program
**For additional information, please do not hesitate to contact Mr. Teller at 505.371.8300**
Only original hard-copies of materials shall be accepted.
(Facsimile or e-mailed materials will not be accepted.)
Notifications of awards will be made no later than May 16, 2017.
2017 PRECOLLEGE DISCOVERY SUMMER PROGRAM
REGISTRATION PACKET
Engineering
Global Security and Intelligence
Aviation
Wildlife Science
ERAU Prescott Summer Programs Registration Packet 2017
1
WELCOME TO EMBRY-RIDDLE’S PRECOLLEGE DISCOVERY
SUMMER PROGRAM!
Thank you for applying to one on the Embry-Riddle University Prescott’s precollege discovery
programs! We are excited to host you during the Summer of 2017. The following 18 pages contain
instructions and forms that must be completed and returned to our office to guarantee your place in the
program. Once we have all of these needed forms and non-refundable deposit, your student will be
considered officially enrolled.
Enrollment will not be granted if your application is incomplete, or payments are not received by
their due dates. All of the required forms and documents need to be returned to us within 30 days of
your application date in order to hold your place in the program. Space is very limited in all of our
programs, so if we do not receive the required forms and documents within that 30 day time period, your
student’s place may be forfeited to another registering attendee.
*FORMS MUST BE SUBMITTED THROUGH USPS, OR FAX to:
Embry-Riddle Aeronautical University
ATTN: Summer Programs
3700 Willow Creek Rd.
Prescott, AZ 86301
Fax (928) 777- 6937
We are unable to accept packets via email for security reasons.
Final payment deadlines:
April 1st
May 1st
Aerospace Aero
Aerospace Astro
CESE Arduino
Drone Flight Exploration
GSIS Spy weeks 1 & 2
Flight Exploration Alpha
Flight Exploration Bravo
Flight Exploration Charlie
Helicopter Exploration
Next Level Flight
Aviation Discovery
Flight Exploration Delta
Flight Exploration Echo
Flight Exploration Foxtrot
Wildlife Science Exploration
NSRE/Balloon
Cancellation Policy: If you need to cancel your attendance, you MUST contact our office at least 30
days prior to the program start to receive a refund. If we receive your cancellation request with less than
30 days prior to the program start, but have extenuating circumstances, requests will be reviewed on a
case by case basis. If we receive your cancellation request with less than 30 days prior to the program
start, and we are not able to fill your student’s place with someone from the waitlist, a refund will not be
able to be granted. Please know that we may require additional documentation in order to determine if a
refund can be given. Program deposits are non-refundable.
If you have any questions or concerns, please call our office at (928) 777-3958, or email us at
[email protected]
ERAU Prescott Summer Programs Registration Packet 2017
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Table of Contents
Welcome ..........................................................................................................................................2
Final Payment Deadlines .....................................................................................................2
Cancellation Policy ..............................................................................................................2
Registration Packet Checklist .......................................................................................................4
Forms Due Dates..................................................................................................................4
Required Documentation Instructions .........................................................................................5
Acceptable Documentation for Proof of U.S. Citizenship ...................................................5
Proof of Citizenship Frequently Asked Questions...............................................................5
ERAU Summer Programs Rules ..................................................................................................6
Registration Packet ........................................................................................................................7
Cover Letter..................................................................................................................................7
Where to send Registration Forms .......................................................................................7
Medical Report Form ...................................................................................................................8
Release of Medical Liability Form ...............................................................................................9
Self-Administered Medication Form .........................................................................................10
Over-The-Counter Medication Waiver and Consent Form ........................................................11
Media Consent Form ..................................................................................................................12
Overview of Regulations ............................................................................................................13
Waiver and Release Form for Minor Participation ....................................................................14
Arrival and Departure Times .....................................................................................................15
Directions to ERAU & Shuttle Service ..................................................................................16
Student Travel Itinerary Form ................................................................................................17
Important Parent Information ...................................................................................................18
Graduation Lunch/Dinner Registration..............................................................................18
Student Checklist- what to bring to campus & what to leave home .......................................19
What to expect when you arrive to Summer Programs ...........................................................20
ERAU Prescott Summer Programs Registration Packet 2017
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Registration Packet Checklist
By using this checklist, you can ensure that you are submitting a complete application
packet. The following items all need to be returned to ERAU Prescott Summer Programs via
mail of fax:
Within 30 days of registration
Completed Cover Letter
Medical Report Form
Release of Medical Liability Form
Self-Administered Medications Form
Over-The-Counter Medication Waiver and Consent Form
Media Consent Form
Overview of Regulations
Waiver and Release Form for Minor Participation
Photo
Copy of Immunization Records
Photocopy of Insurance Card (Front and Back)
At least 30 days prior to the program
Student Travel Itinerary Form
Linen Rental Order
Luncheon Registration
Must be present at Summer Program Check-in
Original Documentation for Proof of U.S. Citizenship (Flight Exploration, Helicopter
Exploration, and Next Level Flight Students ONLY)
Spending money – in case students forgot/wishes to purchase items.
ERAU Prescott Summer Programs Registration Packet 2017
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Required Documentation Instructions
ALL STUDENTS MUST SUBMIT THE FOLLOWING WITHIN 30 DAYS OF
REGISTRATION DATE:
Photo: A 2x2 passport style photo taken on a solid white background.
Immunization Records: Copy of Immunization Records from a physician are preferred,
but we will accept a photo copy of Immunizations on a single sheet. If your child has not
been immunized, please contact our office at (928) 777-3598 for a waiver.
Proof of Medical Insurance: All students must submit a photocopy of their insurance
card (front and back). If you do not have health insurance, please contact our office at
(928) 777-3958 for a waiver.
**FLIGHT STUDENTS ONLY:
Proof of U.S. Citizenship*: All students attending Flight Exploration, Helicopter
Exploration, and Next Level Flight must bring ORIGINAL documentation to ERAU
check-in. NO EXCEPTIONS. Our Summer Programs Manager keeps these documents in
a secure location under lock and key, and will be returned to the student on the last day of
the program.
International students: If your student is an international student, the same rules listed
apply. Students must bring and submit their passport. As the University follows TSA
regulations and guidelines, international students will be able to fly, but will not be able
to log their flight hours.
Students must have all required documents at check-in or they may be sent home.
Acceptable Documentation for Proof of U.S. Citizenship
Due to the nature of the subject matter taught in our Flight Exploration, Helicopter Exploration, and Next
Level Flight programs, students must be U.S. Citizens. Please provide one of the following:
1. U.S Passport- must be current and signed
2. ORIGINAL Birth Certificate from the United States, American Samoa, or Swains Island AND a
US Government issued photo ID.
3. ORIGINAL Certificate of Birth Abroad with a raised seal (Form FS-545 or DS-1350) AND a US
Government issued photo ID.
4. Original certificate of United States Citizenship with a raised seal (Form N-560 or N-561) or
Certificate of Repatriation (For N-581), AND a US Government issued photo ID.
5. Original United States Naturalization Certificate with a raised seal (Form N-550 or N-570) AND
a US Government issued photo ID.
Frequently asked questions:
What is a US Government issued ID? This is a driver’s license or state ID.
Does a school ID qualify for a government issued photo ID? No, a school ID is not government
issued.
Should we mail original documents to the summer programs office? Do NOT mail these items.
Please hand carry the identification to your program check-in.
ERAU Prescott Summer Programs Registration Packet 2017
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ERAU Summer Programs Rules
Alcohol Policy
Alcohol is not permitted on campus in connection with Summer Programs. The University is
required by law to enforce State and Federal Alcohol Use Programs under the Drug Free Schools
Act.
Drug Policy
The use, sale, and/or possession of illegal drugs are prohibited. Federal and State laws specify that
persons involved in the use, sale, or distribution of illegal drugs are liable to criminal action,
including arrest, fin, and imprisonment.
Climbing and/or Rappelling
Climbing onto or rappelling off of campus buildings, tree, lamp posts, balconies, stairwells, roofs, or
any other area is prohibited. There is a $100.00 fine for climbing through windows (except in case of
emergency). There is an additional $50.00 fine for removal of any window screen.
Cohabitation
Cohabitation is not permitted in the residence halls for any of the University’s campus. All guests
must adhere to the University Policies and Procedures. Residence Halls are staffed with mature and
responsible students from our Prescott Campus, who have been background checked.
Fire Safety Regulations
Whenever a fire alarm is sounded, all student participants are REQUIRED to evacuate. Specific
procedures for each program will be explained at orientation.
Damage/Vandalism
Any damages caused by a participant while he/she is on University premises will be charged to the
participant.
Firearms and Weapons
The use or possession of firearms, ammunition, and/or weapons, including air-type weapons, is
prohibited on the Embry-Riddle campus. These items include, but are not limited to, slingshots, BB
guns, paint ball guns, pellet guns, blow dart guns, knives, multi tools, cross bow, bow and arrow, or
any other projectile firing device.
Smoking Policy
Smoking is prohibited, as is the possession of tobacco/and or smoking paraphernalia, including ecigarettes. Please do not bring these items to the program.
Staff Instruction
All participants are expected to comply with the reasonable instructions of a University staff
member, including security personnel and resident staff. Failure to do so may result in expulsion
from University premises.
Visitors
Visitors are not allowed to attend Summer Programs unless they receive prior consent from Summer
Programs Staff.
ERAU Prescott Summer Programs Registration Packet 2017
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Registration Packet Cover Letter 2017
Program Student is applying for: ________________________________________
Student Name: _____________________________ D.O.B.: __________________
Address: ___________________________________________________________
Student Phone: _________________ Email: ______________________________
Parent Phone: __________________ Email: ______________________________
Unisex T-Shirt Size S- XXL: _____
Roommate Request: __________________________________________________
(All roommate requests must be mutually agreed upon and requested on this form by both participants. All students will be
housed with the same gender.)
All items listed must be returned to the Summer Programs Office to
guarantee your spot in the program.
This completed Cover Letter
Medical Report Form
Release of Medical Liability Form
Self-Administered Medications Form
Over-The-Counter Medication Waiver and Consent Form
Media Consent Form
Overview of Regulations
Waiver and Release Form for Minor Participation
Photo
Copy of Immunization Records
Photocopy of Insurance Card (Front and Back)
*FORMS MUST BE SUBMITTED THROUGH USPS, OR FAX to:
Embry-Riddle Aeronautical University
ATTN: Summer Programs
3700 Willow Creek Rd.
Prescott, AZ 86301
Fax (928) 777- 6937
We are unable to accept packets via email for security reasons.
ERAU Prescott Summer Programs Registration Packet 2017
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Medical Report Form
Student Information:
Name of Program Attending: ______________________________________________________
Last Name: __________________________ First: ________________________ M.I. ________
Address: ______________________________________________________________________
Birthdate: ____________ Age: ____
Sex: M / F
Height*:______ Weight*:_______
*Height and Weight are MANDATORY for Flight and Helicopter Programs
Cell: ___________________________ Email: ________________________________________
Physician Name: ___________________________ Physician Phone: _____________________
Dentist Name: _____________________________ Dentist Phone: _______________________
*We require immunization records. All students are required to have 2 MMR’s, 3 Hepatitis B, and
a Meningitis vaccine in order to participate in our programs, unless a waiver is requested. If the
student has not yet received all of their Hep. B and/or Meningitis vaccines, please complete these
with a physician or request a waiver by calling (928) 777-3958.
Do you wear prescription lenses or contacts? Yes ____ No ____
Are you prone to motion sickness? Yes ____ No ____
Have you ever had any major surgery? Yes ____ No ____
o If yes, what? _______________________________________________________
Are you currently being treated for any medical or emotional condition?
Yes ___ No ____
Do you have any disabilities or functional limitations? (Voluntary Information)
Yes ___ No ___
Do you have any conditions that would require restricted activity? Yes ____ No ____
Do you have a chronic or reoccurring illness*? Yes ____ No ____
Do you have any known food allergies or sensitivities? Yes ____ No ____
Do you require a special diet? Yes ____ No ____
Please list any allergies you have to medications, insect stings, or plants:
______________________________________________________________________________
If you answered “Yes” to any of the questions above, please explain:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
*Individuals with chronic medical conditions or special health care needs are encouraged to
attach a statement with recommendations from their personal physician/healthcare provider.
ERAU Prescott Summer Programs Registration Packet 2017
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Medical Release of Liability Form
Parent/Guardian Information:
Parent 1 (Guardian): _________________________________ Phone: _____________________
Address: ________________________________________________________________
Place of Employment: _____________________________________________________
Parent 2 (Guardian): ________________________________ Phone: ______________________
Address: ________________________________________________________________
Place of Employment: _____________________________________________________
If Parent/Guardian is not available in an emergency, please notify:
Name
Phone Number
Relationship to Student
1.
2.
Insurance Information*
Name of Policy Holder: _______________________ Policy Holder D.O.B: ________________
Name of Insurance Company: _____________________________________________________
Policy Number: ______________________________ Group #: __________________________
* If you do not have medical insurance, please contact our office at (928) 777-3958 for a waiver.
I hereby authorize the staff of Embry-Riddle Aeronautical University to arrange for health care,
emergency transport and treatment, and/or hospitalization and at an accredited hospital or other
medical, psychological, or dental care facility when considered necessary by the University Staff.
I further authorize the staff of Embry-Riddle Aeronautical University to medically treat my child in the
event of illness of injury sustained in my absence while he or she is participating in the ERAU Program.
Medical treatment will be administered at an accredited hospital or other medical or dental care facility
when considered necessary.
If my child needs medical attention while attending a summer program, I understand that ERAU will
make every effort possible to have him/her treated under the above insurance policy. However, in the
extent that the insurance policy does not cover treatment, I understand that I am fully responsible for all
medical charges and follow up as a result of my child’s care while on campus. The closest hospital to
ERAU Prescott is about 10 minutes away and is called Yavapai Regional Medical Center in Prescott,
Arizona. If there is an emergency, campers will be taken to YRMC’s emergency department for treatment.
Parent/Guardian Signature: __________________________ Date: ________________________
Student Signature: _________________________________ Date: ________________________
ERAU Prescott Summer Programs Registration Packet 2017
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Self -Administered Medications Form
Students may bring their medication to their summer program and self-administer. All medications
brought onto campus MUST be identified below. If a student is not able to self-administer their
medication, a private nurse must be employed to administer medication, which will be the responsibility
of the family. Unfortunately, due to insurance regulations, the ERAU health services department on
campus is unavailable for summer programs students.
Please fill out the following information for each medication your student is bringing to campus.
Attach additional sheets if necessary.
Student’s Name: ________________________________ Program: _______________________
Name of medicine and prescription #: _______________________________________________
Route of Administration (oral, injection, etc.): ________________________________________
Amount to be given: ________________________ Dose Frequency: _____________________
Time(s) of day to be given: ___________________ Expected duration of treatment: _________
Physician’s name (must be on the label): ____________________________________________
Reason for medication: __________________________________________________________
Name of medicine and prescription #: _______________________________________________
Route of Administration (oral, injection, etc.): ________________________________________
Amount to be given: ________________________ Dose Frequency: _____________________
Time(s) of day to be given: ___________________ Expected duration of treatment: _________
Physician’s name (must be on the label): ____________________________________________
Reason for medication: __________________________________________________________
I hereby authorize Embry-Riddle Aeronautical University Precollege Summer Programs to allow
my child, ________________________________, to self-administer the prescribed
medication(s) listed above.
Parent/Guardian Name: _______________________________________ Date: ______________________
Parent/Guardian Signature: ____________________________________________________________
OR
My child will not be taking any prescribed medications while attending the Embry-Riddle
Precollege Summer Programs.
Parent/Guardian Signature: __________________________________ Date: ________________________
ERAU Prescott Summer Programs Registration Packet 2017
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Over-the-Counter Medications Waiver & Consent Form
Student Name: ________________________________________________ Date: ____________
Program Attending: ___________________________________________________________
Parent/Guardian Name: ________________________________________________________
Over-the-Counter (OTC) Medication may at times need to be administered, if approval is indicated by the student’s
parent or guardian. Please complete the following sections to save time if your child needs any of the OTC
medications during their stay. Program staff reserves the right to use generic equivalents when available for the
name brand over-the-counter medications listed below.
Please check off all approved mediations. Note: Unless we have parental authorization, we cannot administer
ANY medications.
I hereby authorize that the following medications may be given to the Student if the need arise. You may
dispense only those checked:
NONE
Ointments for minor wound care, first aid as directed (Antiseptic, anti-itching, anti-sting, antibiotic, and
sunburn).
Tylenol/Acetaminophen as directed.
Ibuprofen as directed.
Throat lozenges for sore throat.
Kaopectate or Imodium for diarrhea as directed.
Milk of Magnesia, Pepto Bismol, or Mylanta for upset stomach or nausea as directed.
Rolaids or Tums for acid reflux, heartburn, or indigestion as directed.
Benadryl for swilling, hives, allergic reaction, as directed.
Actifed or Sudafed as directed for nasal congestion or allergy relief per instructions.
Visine or other eye drops for minor eye irritation.
Robitussin or other cough syrup as directed.
Calamine lotion for bug bites and poison ivy.
Sunscreen
Bug Repellant
Other (list any other approved over the counter drugs): _____________________________________
I understand that such administration will not be done under the supervisions of medical personnel. I also agree
that any first aid treatment may be given as needed.
Any condition which is associated with fever, significant inflammation, and/or does not respond to the above
outlined treatment will be followed-up by a consultation with the student’s parents. Parent/guardian will be
contacted if any conditions develop requiring treatment with any of the above over the counter medications that are
not checked.
I understand that these over-the-counter medications are not necessarily kept on hand and available to be
administered immediately.
I authorize the administration of over-the-counter medications to my child as indicated above. I shall indemnify and
hold harmless the program staff, Embry-Riddle Aeronautical University, Administrations, Faculty, Staff, Student
Leaders, and all other officers, directors, employees, and agents against any claims that may arise relating to my
child being administered the above indicated over-the-counter medications. I/WE have legal authority to consent the
medical treatment for the student named above, including the administration of medication at the above referenced
program.
Parent/Guardian Signature: _____________________________________ Date: _______________________
ERAU Prescott Summer Programs Registration Packet 2017
11
Summer Programs
Tel: (928) 777-3956
Fax: (928) 777-6937
www.prescott.erau.edu/summer
Media Consent Form
Date: __________________
I, _________________________________, grant Embry-Riddle Aeronautical University and the
[Parent/Guardian]
Summer Programs Office of ERAU, permission to photograph and/or record my child
____________________________________, and hereby consent to any and all uses of
[Student’s name]
photographs/video of said child (with or without the use of my child’s name) taken by EmbryRiddle Aeronautical University or its designees, including any agency, client, or periodical, for
the purpose of advertising, trade, display, editorial, art, or exhibition connected to the University.
In giving this consent, I release the University and its designees from liability for any violation
of any personal proprietary right I may have in connection with such sale, reproduction, or use.
Parent/Guardian Name: ________________________________________
Parent/Guardian Signature: _____________________________________
Student Name: _______________________________________________
Student Signature: ____________________________________________
I __________________________________ do not consent/grant Embry-Riddle permission to photograph
[Parent/Guardian]
and/or record my child __________________________________.
[Child’s Name]
Parent/Guardian Signature: ___________________________________
ERAU Prescott Summer Programs Registration Packet 2017
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Overview of Regulations
Please read the following statements and initial in the spaces provided. This is a legally
binding document.
I agree to abide by the rules and regulations
of ERAU, its Summer Programs, and staff
instructions. I understand that ERAU
reserves the right to refuse service and insist
I return home, at my own expense, should
my behaviors warrant this action. No refund
will be issued if asked to discontinue the
program due to student behavior.
Student Initials: ________
Parent/Guardian Initials: ________
As a parent/guardian, I authorize my student
to participate in all the activities organized
by ERAU for the selected Summer Program.
I understand that activities may be altered
due to adverse weather conditions. If
conditions warrant a change in, or
cancellation of, activities, no refund will be
issued.
My signature on the enclosed Medical and
Release of Liability Form is given with the
understanding that my student will be
transported to other locations in ERAU
vehicles. Activities will be supervised and
my student will not be forced to participate.
ERAU reserves the right to call the
emergency contacts listed in the event my
student does not participate at an acceptable
level.
Parent/Guardian Initials: _______
I agree to pay ERAU the cost of repairs for
damage incurred to ERAU property in the
event that damage occurs due to the result of
the negligence of my student.
Parent/Guardian Initials: _______
Parent/Guardian Initials: ________
I understand that above statements, and agree to all terms stated therein.
Parent/Guardian Signature: _____________________________ Date: __________________
Parent/Guardian Name: _______________________________________________________
Student Signature: _________________________________ Date: _____________________
Student Name: ______________________________________________________________
ERAU Prescott Summer Programs Registration Packet 2017
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WAIVER AND RELEASE FORM FOR MINOR PARTICIPATION
This waiver and release is presented to me by Embry-Riddle Aeronautical University (“ERAU”) located
at 3700 Willow Creek Road, Prescott, AZ 86301 for my participation in the ________________________
(Program Name)
in Prescott, AZ from _____________________________________, and I agree to abide by the following:
(Dates of Program)
For myself, my estate, assigns and representatives, I hereby release, indemnify, hold harmless and forever
discharge ERAU, its trustees, officers, employees, and agents from any and all claims, liability, demands,
lawsuits, and causes of action of any kind or nature, known or unknown, that I have or may have, arising
from or related to my participation in this event. I understand that activities, of which I will take part on a
voluntary basis, can be dangerous and may cause or lead to injuries, including but not limited to, broken
bones, concussions, comatose state and other very serious bodily injuries up to and including death.
In consideration of ERAU’s permission for me to participate in this event, I, for myself, my estate, assigns
and representatives, hereby waive any and all claims of any kind or nature, known or unknown, for
damages, injuries or losses to myself or my property arising from or related to my voluntary participation
in this event. Unless required by law or valid order of court, I shall not file, allow to be filed, consent to, or
cooperate with any claim, cause of action, lawsuit, or demand of any kind or nature for injuries or losses to
or by me arising from or related to my volunteer participation in this event, and shall on demand defend
and indemnify ERAU for any cost or expense associated therewith. I hereby consent that ERAU or its agent
may arrange for or provide emergency medical care that appears reasonably necessary, or transportation to
such care. I understand and agree that neither ERAU, nor its trustees, officers, employees, or agents shall
provide medical insurance, nor will they pay any medical cost or expense incurred by me. I shall be
responsible for the payment of all such expenses, including the costs of transportation or hospitalization.
ERAU, therefore, strongly recommends that I obtain my own personal insurance sufficient to cover
any related injuries or damage, and I hereby acknowledge that recommendation.
I acknowledge that I am sufficiently fit to participate in this activity, and that I may examine the facilities
where the activity shall take place. My participation shall be conclusive proof that I was satisfied with the
safety and condition of the premises.
_____________________________________________________________________________________
Minor’s Signature
Printed Name
Date
PARENT/GUARDIAN OF MINORS
I understand, acknowledge, and agree with the provisions above.
____________________________________________________________________________________
Parent/Guardian Signature
Printed Name of Parent/Guardian
Date
Summer Programs Waiver and Release for Minors 10/19/2016
ERAU Prescott Summer Programs Registration Packet 2017
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Program Arrival and Departure Times
June 2017 Summer Programs
Summer
Program
Arrival Date
Arrival Time
Departure Date
Departure Time
Aerospace Aero
Sunday, June 25
12 PM-4 PM
Friday, June 30
1 PM-3 PM
Aerospace Astro
CESE Arduino
Flight Exploration
Alpha
Flight Exploration
Bravo
Flight Exploration
Charlie
GSIS Spy Week 1
GSIS Spy Week 2
Helicopter
Exploration
Next Level Flight
NSRE/Balloon
Sunday, June 4
Sunday, June 18
12 PM-4 PM
12 PM-4 PM
Friday, June 9
Friday, June 23
1 PM-3 PM
1 PM-3 PM
Sunday, June 4
12 PM-4 PM
Friday, June 9
1 PM-3 PM
Sunday, June 11
12 PM-4 PM
Friday, June 16
1 PM-3 PM
Sunday, June 18
12 PM-4 PM
Friday, June 23
1 PM-3 PM
Sunday, June 4
Sunday, June 11
12 PM-4 PM
12 PM-4 PM
Friday, June 9
Friday, June 16
1 PM-3 PM
1 PM-3 PM
Sunday, June 18
12 PM-4 PM
Friday, June 23
1 PM-3 PM
Sunday, June 25
Sunday, June 11
12 PM-4 PM
12 PM-4 PM
Friday, June30
Friday June 16
1 PM-3 PM
1 PM-3 PM
July 2017 Summer Programs
Summer
Program
Aviation
Discovery
Drone Flight
Exploration
Flight Exploration
Delta
Flight Exploration
Echo
Flight Exploration
Foxtrot
Wildlife Science
Exploration
Arrival Date
Arrival Time
Departure Date
Departure Time
Wednesday,
July 5
7 AM-9 AM
Friday, July 7
7 PM-8 PM
Sunday, July 16
12 PM-4PM
Friday, July 21
1 PM-3PM
Sunday, July 9
12 PM-4 PM
Friday, July 14
1 PM-3 PM
Sunday, July 16
12 PM-4 PM
Friday, July 21
1 PM-3 PM
Sunday, July 23
12 PM-4 PM
Friday, July 28
1 PM-3 PM
Sunday, July 9
12 PM-4 PM
Friday, July 14
1 PM-3 PM
Check- in is from 12:00PM- 4:00PM on the Sunday of the Summer Program, except for Aviation Discovery,
which is from 7:00AM-9:00AM on Wednesday. During the check-in period, there are no activities scheduled.
This time period is for check-in and room set up. Students must remain at the dorms unless accompanied
by a parent, guardian, or ERAU staff during this time. The first official activity will be at orientation,
which will start at 4PM on Sunday for Precollege students, and 9AM Wednesday for Aviation Discovery
Students. Please note, our staff is not available earlier to check students in unless special arrangements are
made; which are granted upon staff availability only. Please call (928) 777-3958 if you would like to request
special arrangements. We absolutely cannot accommodate students who want to arrive a day early or stay
a day late on campus. All students must be off campus by 3:00pm on Friday, or by 8:00p.m. for Aviation
Discovery participants. We appreciate your effort to arrive in the above time frame for your program.
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Directions to Embry-Riddle, Prescott Campus
Embry-Riddle Aeronautical University
3700 Willow Creek Rd.
Prescott, AZ 86301
Driving from the Phoenix Area
1.
2.
3.
4.
5.
Take Interstate 17 North to Highway 69 (Exit 262)
Continue on Highway 69 and turn Right on Fain Rd.
Continue on Fain Rd. - it will become Highway 89A, then Pioneer Parkway.
Turn Left at the traffic signal at Willow Creek Road.
Go ¼ mile and turn Right at the traffic signal at Heritage Park Rd/ Dan Carrell Dr. at
Embry-Riddle’s main entrance.
62 miles
28 miles
7 miles
Approximate Distance: 100 miles
Estimated Time: 2 hours
Shuttle Service Information
From Phoenix Sky Harbor Airport and Prescott Airport
For students flying into Sky Harbor in Phoenix, Arizona, we recommend the Arizona Shuttle to travel to
campus. Students are responsible for their own transportation to ERAU Prescott Precollege
Discovery Summer Programs from the Phoenix airport. If they are using a shuttle service, door to door
service is required. When making your reservation, request service to/from Embry- Riddle.
Arizona Shuttle
(800) 888-2749
24-hour reservation line
http://arizonashuttle.com/cities/prescott
Fly-U Shuttle
(928) 445- 8880
7:00 AM- 10.00PM
http://FlyUShuttle.com
The Arizona Shuttle service drops students off at the ERAU Haas Commons, Bldg. 73, whereas Fly-U
Shuttle drops students at the ERAU Visitors Center. An Embry Riddle Staff member will pick up your
student from the drop off location to take them to Check-in.
From Prescott Airport
Great Lakes Aviation offers air service to Prescott Airport. Flights depart from Los Angeles, CA. For
Reservations, visit www.GreatLakesAV.com, or Call, (800) 554-5111
If you will be traveling by private plane, please alert our office of your estimated arrival time and tail
number so our staff will be able to locate you.
All students and family members (if applicable) flying into the Prescott Airport can be picked up by staff
upon request. Please contact (928) 777-3958 to schedule.
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Student Travel Itinerary Form
Student’s Name: __________________________ Program Attending: ____________________
This form MUST be returned to the Summer Programs Office at least 30 days prior to program.
Student Arrival Information
Student will arrive on campus by:
___ Car
Driver’s Name: _____________________________ Driver’s Cell: _________________
Expected Arrival Time: ___________
___ From Phoenix Sky Harbor Airport
Airline: _____________________ Flight #: _________ Flight Arrival Time: _________
Shuttle Co. /Driver’s Name: ________________________________________________
If Driver, Cell: ______________________________ Expected Arrival Time: _________
___ Great Lakes Flight or Personal Plane to Prescott Airport*
Flight #: ___________ Flight Arrival Time: ___________
Student Departure Information
Student will depart campus by: (Reminder: All students must be off campus by 3:00pm on Fridays except
Aviation Discovery.)
___ Car
Driver’s Name: _____________________________ Driver’s Cell: _________________
Expected Departure Time: ___________
___ From Phoenix Sky Harbor Airport
Airline: _____________________ Flight #: ________ Flight Departure Time: ________
Shuttle Co. /Driver’s Name: ________________________________________________
If Driver, Cell: ____________________________ Expected Departure Time: _________
___ Great Lakes Flight or Personal Plane to Prescott Airport*
Flight #: ___________ Flight Arrival Time: ___________
*Please contact the Summer Programs Office at (928) 777-3958 to make arrangements for our staff to
pick up/drop off those flying in/out of Prescott Airport.
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Important Parent Information
Hotel Accommodations
We do not house parents on campus during their child’s Summer Program. If you plan to arrive
early or stay late in the Prescott area, or if you are staying in Prescott while your student attends
a Summer Program, here are a few local hotels for your consideration.
SpringHill Suites by Marriott
200 E. Sheldon Street
Prescott, AZ
(888) 466-8440
www.marriott.com
Prescott Resort & Conference Center
1500 Highway 69
Prescott, AZ
(800) 96PINES
www.PrescottResort.com
Residence Inn Prescott
3599 Lee Circle
Prescott, AZ 86301
(928) 775-2232
www.mariott.com
Hampton Inn Prescott
3453 Ranch Drive
Prescott, AZ 86303
(928) 772-1800
www.hamptoninn3.hilton.com
Holiday Inn Express
3454 Ranch Drive
Prescott, AZ 86303
www.ihg.com
Hampton Inn Prescott Valley
2901 N. Glassford Hill Rd.
Prescott Valley, AZ 86314
www.hamptoninn3.hilton.com
Linen Rental
If you do not wish to bring linens from home, we do offer linen rental for a fee. Linen Packets
include 1 of each of the following: fitted sheet, flat sheet, blanket, pillow, pillowcase, washcloth,
hand towel, bath towel, and bathmat. We do not replace linens throughout the week. Please
contact our office at (928)777-3956 if you wish to order a linen packet. Payment will be due at
Summer Programs Check in.
Graduation Luncheon/Dinner Instructions
On the last day of each Summer Program, we host a graduation lunch for all Precollege
programs, as well as a graduation dinner for Aviation Discovery. Family and friends are
welcome and encouraged to attend as you will be able to be present for your student’s awards
ceremony, and learn more about what your student experienced during their stay here.
If you wish to attend, please register online at www.prescott.erau.edu/summer. Payment is $16
per person (The Student’s lunch/dinner is included in program tuition).
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Student Checklist
What to bring to your Summer Program
Students should bring the following items to their program. We will take students to a local
Wal-Mart in case these items were forgotten. As we experience monsoon season during our
summers, please plan for rain or shine.
Alarm Clock
Camera
Cell Phone & Charger
Medications
Linens- sleeping bag or sheets, blanket, pillow & pillow case, and bathing towels (unless
you are renting a linen packet from us).
Toiletries including soap and shampoo/conditioner
Rain Jacket and/or umbrella
Appropriate clothing for the duration of the program
Academic Supplies- supplies your student feels may be necessary to take notes, study,
etc.
Spending Money- For use at Wal-Mart, vending machines, or for souvenirs at our
campus bookstore.
All Flight Students: Closed-toe shoes, 1 pair of long pants.
Wildlife Science Students: Hiking/walking shoes, 1 pair of long pants.
What to leave home
Alcohol and Alcohol paraphernalia
Drugs and Drug paraphernalia
Tobacco Products and smoking paraphernalia (including E-Cigarettes,
Flammables (Lighters, matches, fireworks, and explosives)
Water Balloons
Water/Toy guns
Weapons (including knives and pocket knives)
Radio-Controlled aircraft or vehicles
Anything our staff may view as potentially dangerous
If any of these items are found in a student’s possession, they will be confiscated by our staff.
We also recommend that students not bring valuables such as jewelry, expensive watches,
electronics, or non-replaceable items, especially those with sentimental value. ERAU
Prescott is not responsible for missing, list, or stolen items on campus. Thank you in advance
for your cooperation.
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What to expect when you arrive to Summer Programs
If driving,
From Entrance to ERAU, A-frame signs will line the streets guiding you to The Villages
residence halls. Please park in Lot O. Students that drive their own vehicle will turn in
their keys to the check-in desk.
If arriving by shuttle,
The AZ Shuttle drops students off at the Haas Common, while the FlyU Shuttle drops
students off at the Visitors Center. At either location one of our staff members will meet
your student and walk them to The Villages for check in.
When arriving to Check-in:
Upon arrival to the check- in desk, you will be asked to re-verify information, receive
your housing key, and be directed to your room.
Documentation for flight students will be collected.
For those who reserved linens, the Summer Programs staff will collect your
cash/check payment, and give the linens to you.
Ensure your student has spending money.
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2017 ERAU Flight Exploration Summer Program Application
Youth Applicant’s Contact Information
Name:
Home Address:
City, State, ZIP Code:
Home Phone:
E-Mail Address:
Home Chapter:
Youth Applicant’s School Information
Name of School:
Grade for Current School Year:
GPA:
Academic Advisor’s Name:
Summer Program
If selected, which camp are you available to attend?
Please choose two, by marking an “X” :
Flight Exploration Alpha - June 4-9, 2017
Flight Exploration Bravo - June 11–16, 2017
Helicopter Exploration Camp: June 18-23, 2017
Next Level Flight (previously Advanced Flight) - June 25-30, 2017
Essay Component
1,000-Word Applicant Essay answering the following three questions. (The essay must be a typed document, no more than 1,000 words.
The font may be no smaller than Times New Roman, 12 pt. Single or double spaced is acceptable.)
1.
2.
3.
How do you see the role of aviation benefiting the Navajo Nation today and in the future?
What are some skills you hope to learn from this program that can help you during the school year?
How will this opportunity contribute to your future educational and career goals?
Person to Notify in Case of Emergency
Name:
Street Address:
City, ST, ZIP Code:
Home Phone:
Work Phone:
E-Mail Address:
Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted, any false
statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
Name (printed)
Signature
Date
Our Policy
It is the policy of Navajo DOT to provide equal opportunities without regard to religion, gender, sexual preference, or disability.
Thank you for completing this application form and for your interest in participating in the 2017 ERAU Flight Exploration
Summer Program, sponsored by Navajo DOT, Armstrong Consultants and ERAU.