Minnesota Recycler - Automotive Recyclers of Minnesota

ARM Foundation Scholarship Application
1. Full Name (please print): ____________________________________________________________
First Middle Last
2. Home Address: ____________________________________________________________________
Number and Street City
________________________________________________________________________________
State Zip Code Home Phone
3. Date of Birth: ________ / ________ / __________
4. Expected date of graduation from (please circle one) high school/college: ________ / ________
mo. yr.
5. Name of High School/College now attending: __________________________________________
6. High School Students Only. Name, in order of preference, the three colleges you would like to attend.
You must indicate whether you will live on campus or commute daily.
Live at Home
College Location (City, State) or on Campus
A. ________________________________________________________________________________
B. ________________________________________________________________________________
C. ________________________________________________________________________________
7. Name of parent who has been employed by a FULL MEMBER of the ARM for at least one full year.
________________________________________________________________________________
8. Parent’s occupation: __________________________ Employment start date: ____ / ____ / ____
9. Name of parent’s employer*__________________________________________________________
(firm)
________________________________________________________________________________
(address)
*See instructions on page one (1).
APPLICATION MUST BE POSTMARKED NO LATER THAN MARCH 1, 2010.