Motor Sports, Inc.
And Hi-Line Drag
A non-profit entity to promote economic development, education and tourism in Phillips County
To print this form, just click print from your web browser.
Four $500.00 scholarships to 2013 graduates
Last name First name Middle initial
The check will be made payable to the school of your choice, after the completion of your first semester.
Deadline: April 15, 2013
Submit completed application and official transcripts to:
LAST FIRST MIDDLE
PHONE___________________________SOCIAL SECURITY #_______________________
DATE OF BIRTH________________
HIGH SCHOOL NAME/COUNTY_________________________________________________
DATE OF GRADUATION______________________
State your educational career goals and why you want to attend a college, vocational or state-licensed trade school with the emphasis on automobile related training. Be specific.
List school related participation in extracurricular activities for the past three and one-half years. (Briefly) Include years of participation for each activity.
List community activities you have participated in for the past three and one-half years.
List your achievements or any special awards you have received for school or related activities.
List your employment record.
Reason for financial need.
Additional comments, which may be relevant for committee consideration in evaluating.
Name of school you plan to attend:
Transcripts: Be sure to include your academic transcript(s)
I (we} understand that all answers to the preceding questions are true and complete.
I (we) understand than any false answers or deliberate omissions on this application may be grounds for rejection of same and withdrawal of any award granted. I (we) authorize investigation of applicant’s schooling and other activities, and release those persons or organizations from any and all liability and responsibility for any damages I (we) may suffer as a result of this information. I (we) agree that I (we) will abide by all decisions made by the Scholarship Committee on behalf of Phillips County Motorsports, Inc. as they pertain to this scholarship application.
APPLICANT SIGNATURE (DATE)
(PARENT/GUARDIAN SIGNATURE) (DATE)
Direct any questions and return this application to:
Phillips County Motorsports Inc.
P O Box 31
Malta MT 59538