BOB DOUTHITT (Mr. Navion)

DOUTHITT MEMORIAL AVIATION SCHOLARSHIP

This $1,000 scholarship is established for a licensed pilot seeking a higher rating.  There must be two or more recommendations, which includes one from a certified flight instructor.  He or she must be a United States citizen.

 Name_______________________________________________________________________

Address_____________________________________________________________________

Phone, Fax, E-mail____________________________________________________________

Date you received your Private Pilot License (copy)____________________________

Ratings you have obtained (copy)____________________________________________

Rating working for____________________________________________________________

Instructor or Flight School_____________________________________________________

Logged Flight Time: Dual__________________________ Solo________________________

  (copy from logbook)

Date of last FAA Physical (copy) _________________________________________________

Date passing written exam for new rating (copy) _______________________________

Include a personal statement about why you are working toward this rating and

goals for your future flying, and a photo of yourself.  A statement from your

flight instructor must be included with this application.

Current deadline information: call 760-352-6496.

Mail to:  SCHOLARSHIP COMMITTEE 1108 W. Evan Hewes Hwy.  El Centro, CA  92243        

                                                        or FAX to 760-352-6496.

_________________________________________________________________________________________

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