AFROTC High School Scholarship Interest Form

AFROTC High School Scholarship Interest Form

2d Lt Ivan Zhivaga - Air Force Scholarship Advisor
Are you a student or parent/counselor?
Student Interest
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
School Name
ZIP code
School Grade
Are you interested in pursuing a STEM college degree?
Junior Competitive Applicant (Optional)
THIS SECTION IS OPTIONAL: Are you a junior who thinks you are a competitive applicant? Fill out the sections below to be re-contacted in your senior year.
Unweighted GPA
Leadership experience
Examples of extracurricular activities
What, if any, foreign languages do you know?
Parent/Counselor Outreach
Are you a parent or counselor/admin?
Specific questions about the program
Interested students to contact
Would you like a classroom presentation?
Would you like a zoom consultation/meeting?
Should be Empty: