Scholarship Application

2022 Scholarship Application

The 2022 scholarship applications are due on March 1, 2022.

"*" indicates required fields

Name*

First Last

Email*

Please provide an email other than your high school email.

Address*

Street Address Address Line 2 City State ZIP Code

Preferred Phone Number*

County of Residence*

Name of High School*

High School Graduation Year*

Name of College You Plan to Attend or are Attending*

Anticipated College Graduation Year*

GPA*

Expected Course of Study in College*

Do you have a family member or relative who works for a car or truck dealer?*

If yes, list the relative's name and title, along with the name of the dealership.

Paragraph Detailing Your Career Goals and Interest in Pursuing an Automotive Career*