Scholarship Application Form | Indiana Towing & Wrecker Association, Inc.

Cell Phone

Home Phone

Email

Name of ITWA Member Company

Years as a Company Member

Years as an Employee Member

Job Title

Employee Member Phone

Relationship of Applicant to Employee Member

Scheduled graduation date from high school or current year in college

College Choice

Have you been accepted yet?

Planned major at college

Cumulative grand point average (GPA) excluding spring semester

FINANCIAL NEED – Family’s adjusted gross income from last year’s tax return:

Number of dependents in your parent’s family, including yourself:

Include number of children, their ages and how many are attending college.

What financial sources (grants, funds from parents or other family members, etc.) do you currently have available for your college education?

How do you plan to fund your college education?

Have you already been notified that you will receive other scholarships? Please specify:

Other financial considerations:

EXTRACURRICULAR ACTIVITIES -- Organizations, Clubs, Athletics: Show years of involvement and any offices held.

Honors and Awards:

Community or other activities:

WORK ACTIVITIES? Are you employed?

What type of work?

Hours per week

Describe your other work activities (such as family business family farm, etc.)

PLEASE ATTACH AN OFFICIAL COPY OF YOUR HIGH SCHOOL/COLLEGE TRANSCRIPT(Required)

Drop files here or

Max. file size: 128 MB.

Write a 300 word essay describing the following:

• Why you need financial assistance? • What you and your family have done to help the ITWA become a successful association in the wrecker industry? • What ITWA events have you and your family attended? • In what ITWA events did you or your family volunteer? • How long has your family been an active member of ITWA? • How has your family been involved in the wrecker industry?

Signature

Date