Independent Lubricant Manufacturers Association
Scholarship Program Application
2012-2013 Academic Year

The Applications must be received by June 29, 2012


All applicants must submit an essay on why they should receive this scholarship. This essay must be uploaded with the application and is required before submittal. Please have your essay ready to upload, in Microsoft Word or TEXT file format, after completion of the application below.
PERSONAL INFORMATION
* = required
First Name: *
Last Name: *
Present Address: *
City: *
State: *
Zip Code: *
Home Phone: *
Cell Phone: *
Email: *
ILMA will use this email address to contact you.
Permanent Address: Click here if same as address listed above.
Street:
City:
State:
Zip Code:
 


RELATIONSHIP TO ILMA
How did you hear about this scholarship?
Please state your relationship to an ILMA
member company and/or employee. *
ILMA Member Company Name: *
ILMA Member Employee Name: *
ILMA Member Employee Email: *
 


EDUCATION INFORMATION
High School: *
City: *
State: *
Zip Code: *
Graduation Year: *
Cumulative GPA: *   Weighted  Unweighted
(You must provide either your ACT or SAT Score. You may provide both.)
ACT Score: *
SAT Score: *   based out of 1600  2400
Class Rank:   out of
Coursework: *
College you (plan to) attend: *
City: *
State: *
Major: *
Minor (if any):
College Year: *
Expected Graduation Date: *
Cumulative GPA (if applicable):   Weighted  Unweighted
Please list any scholastic/academic
achievements or honors you have received:


EXTRACURRICULAR ACTIVITIES
Please list any extracurricular activities, including sports or athletics, in which
you have been involved:
Hobbies/interests:
Please list any volunteer or community
work you have completed:
Please list any other scholarships or financial aid that you have applied for:
Have you, as of yet, been awarded any of these scholarships or forms of financial aid? Yes   No
If yes, please specify:
All applicants must submit an essay on why they should receive this scholarship. Topics should include: *
  • How the scholarship will benefit future education endeavors; and
  • Any "special circumstances" (i.e., the applicant is the first child to go to college, comes from a single parent household, or need-based financial assitance, etc.)


File:


 
Enter the text above: *

SUBMISSION DEADLINE: June 29, 2012