CTC Scholarship Application

CHATTANOOGA TRANSPORTATION CLUB

SCHOLARSHIP APPLICATION

 

 

Scholarships are provided to students enrolled in a credited institution of higher learning in vocational or degree programs. To qualify, applicants must be (A) sponsored by a Club member or be a dependent of a member of the Chattanooga Transportation Club or (B) pursuing a degree in the field of transportation, logistics, traffic management, or business degree in sales and marketing.

 

PERSONAL INFORMATION:

 

First name: ____________________________

Middle name: ____________________________

Last name: ____________________________

Street address: ____________________________

City: ____________________________

State: ____________________________

Zip: ____________________________

Telephone: ____________________________

E-Mail: ____________________________

 

PARENT / GUARDIAN INFORMATION:

 

Name: ____________________________

Street address: ____________________________

City: ____________________________

State: ____________________________

Zip: ____________________________

Work phone: ____________________________

Home phone: ____________________________

 

HOBBIES:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

 

EDUCATIONAL INFORMATION:

 

College / University: ____________________________

Street address: ____________________________

City: ____________________________

State: ____________________________

Zip: ____________________________

 

  YOUR SCHOOL ADDRESS:

 

Street address: ____________________________

City: ____________________________

State: ____________________________

Zip: ____________________________

Telephone: ____________________________

 

YEAR IN EDUCATION:

 

___ Freshman ___ Sophomore ___ Junior ___ Senior

 

FIELD OF STUDIES: ___________________________________________________

 

GPA: _______________

 

ENROLLMENT STATUS: _____ Full Time _____ Part Time

 

HIGH SCHOOL ATTENDED:

 

High School: _________________________________________

City: _________________________________________

State: _________________________________________

Zip: _________________________________________

 

ACADEMIC AWARDS OR EXTRA CURRICULAR ACTIVITIES:

  _____________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

________________________________________________________________________________ 

The completed application, together with proper documentation and a photograph of yourself must be submitted to the address shown below. Documents to be provided are:

 

 

Chattanooga Transportation Club

PO Box 9745

Chattanooga , TN 37412