Aviation High School Course (with CAPP)

Information and Guidelines

Under generous donations, the Aviation Heritage Center of Wisconsin is able to offer an accredited high school course in aeronautics. The following instructions will help you to understand the benefits of the course and apply for admission. Enrollment Speak with your guidance counselor to incorporate the class into your regular school schedule. Fall Course time: 7:00am 7:45am - Monday Friday. Spring Course time: 11:15am 12:30pm - Monday, Wednesday, Friday Complete the application below and send to: Lakeland College Attn: Joe McGeorge P.O. Box 359 Sheboygan, WI 53082 After registering, you will receive a confirmation letter with verification of your admission to the course. During the first week of class, you will have the opportunity to register for the Concurrent Academic Placement Program (CAPP). Benefits Meet other area high school students interested in aviation and learn what you need to know to become a Private Pilot. Take a field trip to the EAA AirVenture Museum in Oshkosh, WI. Fly in a Cessna 172S on your first training flight. Experience the Redbird full-motion flight simulator. Receive 3 college credits through CAPP at Lakeland College. Important Credit and Course Information Students must provide their own transportation to the Aviation Heritage Center at the Sheboygan County Airport. High school credit (.5) will be issued by Sheboygan Area Lutheran High School (LHS). The course has no fees except for those students who wish to register in CAPP. The cost to enroll in CAPP is $150.00 which should be made payable to Lakeland College. For more information on CAPP visit http://lakeland.edu/Academics/CAPP/ Questions? Contact Joe McGeorge at mcgeorgej@lakeland.edu, www.Facebook.com/Aviation101, (920) 565-6583

Aviation Course Enrollment Application

Administered by Sheboygan Lutheran/Coordinated by Joe McGeorge

____FALL____SPRING; 20____

STUDENT INFORMATION (ADDRESS TO WHERE ALL INFORMATION IS TO BE SENT)

NAME ____________________________ / __________________________ / ___________________
(Last) (First) (Middle)

ENTERING GRADE ______________

STREET___________________ CITY/ST ______________________ ZIP ______________ DATE OF BIRTH ____ / ____ / ____

HOME PHONE (___) _____________________ SEX: ___ MALE ___ FEMALE

PLACE OF BIRTH: CITY ___________________ STATE _____

SCHOOL CURRENTLY ATTENDING: Name ___________________________________ School Phone (920)____________________ SCHOOL ADDRESS__________________________________________ CITY _____________________________ ZIP _____________

PARENT/GUARDIAN INFORMATION
FATHERS NAME (Last) ________________________ / (First) ____________________ HOME PHONE (____) ______________________

BUSINESS PHONE (_____) ________________ E-MAIL ________________________ CELL PHONE ________________________ MOTHERS NAME (Last) ___________________________ / (First) ________________________ HOME PHONE (____) _________________ BUSINESS PHONE (_____) ________________ E-MAIL ________________________ CELL PHONE ________________________

Fathers Signature ________________________________________ Mothers Signature _____________________________________________ Students Signature _______________________________________ Date__________________________________________
If child is under joint legal custody, both parents must sign above
NON-DISCRIMINATION POLICY - Aviation Class admits students of any race, color, national, and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to the students of the school. It does not discriminate on the basis of race, color, national and ethnic origin in the administration of its educational policies, admission policies, scholarship and loan programs, and athletic and other school administered programs.

APPLICATION FOR ENROLLMENT 2012-13