MIDDLE SCHOOL AND HIGH SCHOOL CAMPS
SCHOLARSHIP APPLICATION
DUE APRIL 14, 2017
Last Name:
First Name:
Birthdate: _____________________________ Current Grade:
Parent/Guardian Name:
Mailing Address:
Daytime Phone:
Email Address: _______________________________________
Mark the camp/camps that you are interested in attending:
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_____ Space 101-currently in 6 or 7 grade
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_____ Space 101- Boy Scouts Merits of Space-currently in 5 -8 grades
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_____ Space 201-graduate of Space 101 or currently in at least 8 grade
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_____ Forces of Flight-currently in 6 or 7 grade
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_____ Advance Forces of Flight-a graduate of Forces of Flight or currently in at least 8 grade
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_____ Space Rx-currently in at least 8 grade
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Toapplyforascholarshipyoumustsubmitanessaybasedonthetopiclisted
plusoneschoolreferenceletterandonecommunityreferenceletter.
Mark the scholarship/scholarships that you are applying for.
(Unless otherwise specified, awards do not cover full tuition)
_____ Cosmosphere Scholarship for Space 101 or Space 101 Boy Scouts Merits of Space
Essay Question: “Why do you want to attend Space 101 and how will it affect your future goals?
_____ Trajectory Scholarship for Space 101- this is a full scholarship
Essay Question: “How will participation in Space 101 help you contribute to the future of space
exploration?”
_____ John and Loraine Ary Memorial Scholarship for Space 101
(Student must be a resident of Kiowa or Edwards County)
Essay Question: “What long term goals should the United States have for the space program
and why?”
_____ Fiore Scholarship for Space 201-this is a full scholarship
Essay Question: “Why do you want to attend Space 201 and how will it affect your future goals?”
_____ Cosmosphere Scholarship for Space 201,
Forces of Flight, Advance Forces of Flight or Space Rx
Essay Question: “In your opinion, is NASA or the private sector better equipped to develop space
and why?”
Return by April 14, 2017 to:
Cosmosphere-Scholarships
1100 N Plum
Hutchinson, KS 67501
or email to [email protected]
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Applicants will be notified no later than May 20 regarding scholarships.