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Minnesota Recycler - Automotive Recyclers of Minnesota

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I certify the following to be true and correct:<br />

CERTIFICATION<br />

(To be completed by the parent-employee)<br />

1. The ARM Foundation Applicant is a dependent student who receives financial assistance from<br />

me.<br />

2. The ARM Foundation Applicant is claimed by me individually or jointly as a dependent for federal<br />

income tax purposes.<br />

Signature: ________________________________________________________<br />

Name (please print): ________________________________________________<br />

Date: ____________________________________<br />

APPLICATION MUST BE POSTMARKED NO LATER THAN MARCH 1, 2010.<br />

FULL APPLICATION SHOULD BE RETURNED TO:<br />

ARM FOUNDATION<br />

ATTN: 2010 SCHOLARSHIP<br />

3333 SKYCROFT CIRCLE<br />

MINNEAPOLIS, MN 55418<br />

Phone: 612-781-5555<br />

Fax: 612-781-7052<br />

Email: autorecyclersmn@bitstream.net<br />

www.autorecyclersmn.net

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