Scholarship Application

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

Personal Information
Name*
First Last
Date of Birth*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Driver License Number*
State on License*
Do you own a car?
- Yes
- No
Make
Auto Brand of Most Interest to You
Education
High School*
Date of Graduation*
Post Secondary Education
Date Started
Date Ended
Do you have any previous automotive education/training?
- Yes
- No
If so, please describe your previous education/training
Work Experience
Do you have any previous automotive work experience?
- Yes
- No
If so, please describe your automotive work experience
Please list your work experiences below
Start Date End Date Employer Duties Supervisor Phone

Click the + symbol to add another work experience
Emergency Contact
Person to contact in case of an emergency
Contact Info
First Name Last Name Relationship Phone Number

Click the + symbol to add another contact
File Uploads
Accepted file types: jpg, gif, png, pdf.
File Uploads
Accepted file types: jpg, gif, png, pdf.
File Uploads
Accepted file types: jpg, gif, png, pdf.
Submit by mail to:
Washington Area New Auto Dealers Association
5301 Wisconsin Avenue, NW, Suite 210
Washington, DC 20015

Start Date	End Date	Employer	Duties	Supervisor	Phone

First Name	Last Name	Relationship	Phone Number

Personal Information