ANSA Foundation Scholarship Form
Please submit this form to be consider for a ANSA Foundation SCHOLARSHIP for training. You must be certified at the lowest level to be considered. Submit the form online (preferred), or email treasurer@ansa.org or print and mail to Dick Gavlak 6807 Crofton Colony Court, Crofton MD 21114-3276.
Nominee Name: (First Last) *
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Submitter Name: (First Last if different than nominee) *
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Select ALL Navy Qualifications HELD *
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Select ALL ASA Qualifications HELD *
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Select Training Program being applied for: *
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How have you or the nominee contributed to the ANSA? *
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How do you or your nominee intend to contribute in the future? *
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Does the nominee have any financial hardship that makes class unaffordable? *
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Why do you like sailing? *
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