Automotive Scholarship Application and Submission

Date of Application*
MM slash DD slash YYYY
Student Applicant*
First Last
Student's Home Address*
Street Address Address Line 2 City State ZIP Code
Student's Email*
Student's Phone*
Automotive Teacher*
First Last
Teacher's Email*
Teacher's Cell Phone*
Location of Automotive Program*
Home High School*
List any automotive courses completed while in high school*
List all of your academic achievements*
List any extra curricular achievements (SkillsUSA, Pit Crew Challenge, etc.) or community service*
What are your education/career goals as you enter the automotive industry*
Explain how you plan to achieve these goals and be successful in the automotive industry*
What are your personal goals outside of the workplace and industry*
Why should your application be selected versus other applicants for this scholarship*
What three words best describe you*
Upload Student Transcript*
Drop files here or

Accepted file types: pdf, Max. file size: 32 MB.
Optional Upload of Letters of Recommendation
Max. file size: 32 MB.
Upload Permission to Publish Form*
Max. file size: 32 MB.
Affirmation*
I affirm that the information above is true and accurate.