Scholarship Application

CTDA 501 (c)(3)
Scholarship Grant Fund Application

Please fill out the information below

This is an application for a Scholarship Grant Fund from the CTDA (c)(3). It is available to owners, employees and/or dependents of California Tire Dealers Association member firms.

Once your completed application is submitted, the CTDA 501 (c)(3) Scholarship Committee will review it. The Committee will then contact qualified applicants for additional information. Letters will be mailed to those not qualifying at this time. Only one Scholarship Grant Fund will be awarded to any one applicant per school term.

All of the requested information is important. By submitting this application you are declaring that the information on provided is given by you voluntarily.

Please Print Information

Applicant's Name:

Address:

Birthday:

Phone Number:

Email Address:

Applied for this scholarship before:

This scholarship program covers two areas. Please designate which you are applying for:

High School:

Graduation Year:

School Address:

Best Phone Number:

Best Time To Call:

Choice of Class Subject or Name of Trade School:

Member Firm Name:

Main Contact:

Main Contact Phone:

Employer Name:

Employer Phone:

Time with Employer:

Hrs per week:

Amount of Scholarship Funds Requested (Max $2,000):

Other Public Financial Assistance:

If Yes, Amount:

Assistance Will Be From:

Comments:

Signature/Print Name:

Todays Date:

If your application qualifies, you will be contacted by the 500 (c)93) scholarship grant fund committee with a request for additional information necessary to make a final decision on awarding a scholarship grant fund.

Security Question:

Scholarship Application

CTDA 501 (c)(3)
Scholarship Grant Fund Application

Contact CTDA

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Scholarship Application

CTDA 501 (c)(3) Scholarship Grant Fund Application

Contact CTDA

Quick Links

Stay Connected

CTDA 501 (c)(3)
Scholarship Grant Fund Application