» Scholarship Application | Automotive Hall of Fame

First and Last Name *

Home Street Address *

Apartment, suite, etc

Home City *

Home State/Province *

Home ZIP / Postal Code *

Country

Phone *

Email Address *

Birth Date *

Are you a U.S. citizen? *YesNo

If you are not a U.S. citizen, do you have a student Visa?YesNo

Name of college, university or trade school you are or will be attending: *

School Financial Aid Office Address *

Apartment, suite, etc

School Financial Aid Office City *

School Financial Aid Office State/Province *

School Financial Aid Office ZIP / Postal Code *

Country

Number of college/trade school hours completed *

Are you a full time student? *YesNo

Major/course of study *

Expected date of college/trade school graduation *

Current GPA (high school or college) *

Estimated expenses per year (tuition and labs) *

Estimated expenses per year (room and board) *

Estimated expenses per year (books) *

Estimated expenses per year (other) *

Total estimated expenses per year *

What was your taxable income for the most recent tax year? *

Do you receive Social Security benefits? *YesNo

If you receive Social Security benefits, how much?

Do you receive veteran's educational benefits? *YesNo

If you receive veteran's educational benefits, how much?

Do you receive any other scholarship, grant, fellowship, loan, or financial assistance? *YesNo

If you receive other financial assistance, how much?

Will any person other than yourself claim you as an exemption for income tax purposes? *YesNo

If someone other than yourself claims you as an exemption for income tax purposes, will you receive more than $750 worth of support from them?YesNo

If someone other than yourself claims you as an exemption for income tax purposes, what is their combined annual income?

Number of siblings who will be attending college during the year in which you are applying *

Please write a brief explanation of your career goals and objectives for the next five years. *

Please attach an official transcript of all academic work.

No file chosen

Please attach two letters of recommendation supporting your automotive interests.

Please attach a letter of acceptance for a trade school, associate's, bachelor's or master's program.

No file chosen

I certify that the information provided is true and complete. I understand that false or incomplete information may result in forfeiture of eligibility or scholarship, if selected. *YesNo

Scholarship Application

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