AIM APPLICATION FORM - CGAUX-10
A.
GENERAL-Used for applicants for the United State Coast Guard Academy
Introduction Mission (AIM) Program.
B.
SECTION I-APPLICANT INFORMATION
1. Applicant-First, Last name and Middle Initial of applicant (Last, First, MI).
2. Address-Applicant's mailing address.
3. City, State, ZIP Code-City name, postal two letter code for state
and ZIP code of applicant
4. Telephone-Telephone number of applicant to include area code.
C.
SECTION II-REQUESTED INFORMATION
1. Insert applicant's first name, middle initial and last name on the blank line.
D.
SECTION III-PERSONAL INFORMATION
1. Date of Birth-Record applicant's date of birth in DD/MM/YY format.
2. Gender-Enter male or female.
3. Height-Enter applicant's height in inches.
4. Weight-Enter applicant's weight in pounds.
5. Applicant's ethnicity (optional)-Applicant indicates ethnic heritage
if applicant desires to do so.
E.
SECTION IV-HEALTH-INFORMATION NOTICE
1. This section is a statement confirming the applicant's health.
The applicant will verify the statement when the application is signed.
F.
SECTION V-SCHOLASTIC STATEMENT
1. Enter the name of the applicant's high school and Community/State.
2. Enter the name of the school(s) the applicant attended in the
sophomore and freshman years.
3. A confirming statement, no entry required.
4. Enter the applicant's academic average, class standing,
class ranking and class size.
5. Enter Verbal, Math and Total scores received on PSAT, SAT, PACT and/or ACT
tests taken. Enter name and date of any of these tests scheduled to be taken.
G.
SECTION VI-ATHLETIC RECORD
1. Enter all sports participation, including positions played and any recognition
received in freshman, sophomore and junior years. Use extra sheets, if
necessary.
H.
SECTION VII-EXTRA-CURRICULAR ACTIVITIES
1. List all extra-curricular participation in any, School, Organization, Activity
or Club. List any awards or honors received. Use extra sheets, if necessary.
L.
SECTION VIII-EMPLOYMENT
1. If ever employed, enter the work title held, places and dates of employment.
J.
SECTION IX-SELECTION REQUEST
1. The applicant should prepare a statement of 100 to 150 words, describing the
reasons he/she would like to be selected for the AIM program. Additional
pages may be attached but each page must be initialed and dated by the
applicant.
K.
SECTION X-PARENT(S) OR GUARDIAN
1. Enter the name, mailing address and telephone number of the
applicant's parent(s) or guardian.
L.
SECTION XI-CERTIFICATION
1. The applicant must sign and date the application on the appropriate line.
2. Applicant's parent(s) or guardian must sign and date the application
on the appropriate line.
M.
SECTION XII-ATTACHMENTS AND DUE DATE
1. Attach the applicant's official transcript and all pertinent recommendations.
N.
SECTION XII-AIM AUXILIARIST INFORMATION
1. Enter the name, mailing address, flotilla number, district number
and telephone number of the submitting AIM Counselor.
O.
SECTION XIV-DIVISION ENDORSEMENT
1. The Division Captain must sign and date the application on the
appropriate line before submitting to the district staff officer
for career counselor.
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