Scholarship Application

	Date:
	Name:
	Street:
	City:
	State:
	Zip:
	E-mail Address:
	Phone Number:
	Date of Birth:
	High School Attended:
	Grade Point Average:
	Name of School Counselor:
	Phone Number of School Counselor:
	Parent/Guardian Name:
	Parent/Guardian Phone Number:
	Monthly Household Income:
	Number of Siblings in the House:
	In 50 words or less, please tell us why you think you should be selected for this scholarship.
	In 200 words or less, please write an essay about what you believe to be the largest threat to safety on todays roadways.
	• In order to expedite scholarship recipient's educational processes, the term of each application will be within each calendar month. For example, all applications submitted and received from January 1st through January 31st will be considered part of the January term. Recipients will be chosen by the 15th day of the month following each term. If an applicant does not received the scholarship during the one month term, then the applicant was not chosen for any of the scholarships available during that term. The applicant may choose to re-apply for another term, and will be considered for any available scholarships for all additional terms applied. Applicants may not submit more then one application during a single term. • Applicant assures that all information submitted in this application is correct, and agrees that all information can and will be verified by AllGoodDrivers Scholarship Foundation prior to issuance of any funds. • AllGoodDrivers Scholarship Foundation does not maintain any control over any of the educational institutions or professional driving schools which will be used to fulfill the purposes of the scholarship. The applicant agrees to hold AllGoodDrivers Foundation harmless from any claims resulting from any services that were paid for by this scholarship, but provided by these private educational institutions and driving schools. • Scholarship funds will not be issued to individual recipients. All funds will be issued directly to the educational institutions that have been chosen to fulfill the recipients educational requirements.
	I have read and accept the Terms and Conditions