AUTOBELL CAR WASH SCHOLARSHIP

FUND APPLICATION

Please complete all of the following (print or type)

Date of application

Last Name First Name Middle Initial

Address

City State Zip

Phone Number(s) ( )

Social Security # Date of Birth

Name of High School

City, State

High School Cumulative GPA Class Rank

ACT or SAT Score

Autobell Car Wash Location

Name of Manager

Number of years with Autobell Car Wash

Have you ever been employed at another Autobell Car Wash location? (yes/no)

If yes, please explain

Name of accredited post-secondary education institution and semester/year attending

Please list all activities, leadership roles, community involvement, memberships, and honors you have received. (Use a second sheet if necessary.)

Employment History

Please list all previous jobs. Explain your position and reason for leaving.

List three (3) references with name, address, and phone number. (References must not be an Autobell Car Wash employee or family member.)

1.

2.

3.

Essay

On a separate sheet of paper, please type or clearly print your answer to ONE of the following two (2) questions. The essay should be at least 500 words but should not exceed 1,000 words.

1. What are the 3 most important things you have learned from your work experience at Autobell Car Wash? Explain

2. As Autobell Car Wash continues to grow, we are sometimes faced with the task of introducing our company to a new community. What would you say to convince that community and its leaders that Autobell Car Wash would be an asset to their community?