The South Bend Transportation Club, Inc. $500.00 Scholarship Award 2009-2010 Application
Be sure to carefully read and understand the Scholarship Rules and the Application Instructions before filling out and submitting this application.
First Name
Last Name
Address
City
State
Zip
Phone
E-Mail
Educational Level for 2009 - 2010 School Year
 
School attending or planning to attend
Name of SBTC member
Relationship to member

 

I have read and understand the SBTC Scholarship Award Rules. All of the information provided by me is true and complete to the best of my knowledge. I agree to give proof of the information supplied on this form if required. Falsification information on this application could jeopardize any assitance offered. I hereby affirm that I intend to enter an accredited college or university during the 2009-2010 school year. In understand that no scholarship funds shall be given until I have provend that I meet eligibility requirements. Submitted answers are the property of the South Bend Transportation Club may be used as they deem appropriate.

USE YOUR PRINT BROWSER TO PRINT THE APPLICATION AND ATTACHED TO ESSAY

Signature
  
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