Scholarship Application

Please fill out this online application with accurate and most up-to-date information.

* Indicates a required field
Personal Data
First Name*
 Last Name*
 M.I.
Date Of Birth*
    
Address*
  Apt #
 
City*
 State*
 Zipcode*
Phone (Primary)*
 Phone (Secondary)
  
Email*
  
Drivers License Number*
  State*
 
Car Owned?
Make  
Auto Brand of Most Interest To You  
Education
Do you have any previous automotive experience Yes No
Please describe your automotive technician training/experience
High School*
 Date of Graduation*
  
Post Secondary Education
 Date Started
 Date Ended
Work Experience
 
Do you have any previous automotive experience Yes No
  Start Date End Date Employer Duties Supervisor Phone
1
2
3
4
5
Please describe your work experience here
Person to contact in case of emergancy
First Name
 Last Name
 Relationship
 Phone
Attachments*

To finalze this application you must also submit the following documents by either email or fax to The Washington Area New Automobile Dealers Association.

  • A copy of your driving record from the Department of Motor Vehicles
  • A copy of your High School Diploma/Transcript or G.E.D.
  • A copy of any specialized Training Certificates
Submit By Mail To:
5301 Wisconsin Avenue, NW, Suite 210
Washington, DC 20015
Fax To:
202.237.9090      Print out cover sheet