U.S. Air Force Fact Sheet AFRL HIGH SCHOOL APPRENTICESHIP PROGRAM APPLICATION FORM Student Application Form Air Force Research Laboratory Munitions Directorate High School Apprenticeship Program (HSAP)  NAME__________________________________ STREET ADDRESS_____________________________________________________   CITY ___________________________ STATE ___ZIP CODE ____________  PHONE _______________________  Junior (  ) Senior* (  )  SOCIAL SECURITY NUMBER _____________________ *Only former HSAP's may apply as Seniors  EMAIL ADDRESS _________________________________________ HIGH SCHOOL ___________________________________________  U.S. CITIZEN (  ) YES (  ) NO (Must be U.S. citizen to apply)  OVERALL High School Grade Point Average (GPA)**:  Weighted ________________ Unweighted _________________  STANDARDIZED TEST SCORES**: PSAT INDEX ________ SAT ________ ACT ________ OTHER ________ ** Attach transcript and any test scores (PSAT, SAT, ACT, etc.) of student  Do you have any disabilities that must be accommodated? (  ) Yes (  ) No If yes, please specify.   ___________________________________________ _____________________________________________________________ _____________________________________________________________  For the following items (A-F), you may use additional space as necessary: A. Honors received (in or out of School): _____________________________________________________________  B. Major academic interests: _____________________________________________________________  C. Other hobbies, interests, or other school activities: _____________________________________________________________  D. Describe briefly your participation in math/science activities (clubs, fairs, research):_____________________________________________________  E. Describe your experience with computer applications and any computer languages? _____________________________________________________________  F. Write a short paragraph explaining why you want to participate in the summer apprenticeship program, including area(s) you are interested in performing research. ___________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ I, ______________________________(Parent or legal guardian's name), give permission for ___________________________ (student) to participate in the Air Force Research Laboratory High School Apprenticeship Program.  _________________________________________ (Parent Signature / Date) I certify the above and attached information is correct. ________________________________________ (Student Signature / Date) TEACHER RECOMMENDATION(S) Comment briefly on qualities of student related to participation as an apprentice. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Signature _________________________________________ Printed Name of School Official ___________________ Title: ___________________ Date ________________