ALOA Scholarship Foundation, Inc. An educational, non-profit 501 (c) (3) tax-exempt corporation – Federal Tax Id# 75-2478220 Headquarters Office • 3500 Easy Street • Dallas, Texas 75247-6416 • 214-819-9733 • FAX 214-819-9736 [email protected] SCHOLARSHIP APPLICATION Name ______________________________________________ PRP/STPRP Level ______________ ALOA/SAVTA# __________ Home Address _______________________________________ City __________________ State __________Zip _____________ Home Phone _________________________ Work Phone __________________________ D.O.B. _________/ ______ / _______ Fax _________________________________ Email ______________________________________________________________ Employer ___________________________________________ Supervisor’s Name _____________________________________ Work Address _______________________________________ City __________________ State __________Zip _____________ Position _____________________________ o Full Time o Part Time Take Home Pay _______________per _____________ Educational Level _______(years) Degree/Certification (if any) ___________________________________________________ Previous Recipient? o No o Yes Date ________________________ Location ______________________________________ Length of Time in Locksmithing __________ (years) Membership in Trade Associations (list by name) ____________________ ________________________________________________________________________________________________________ Marital Status __________Number of Dependents __________ Annual Adjusted Gross Income ___________________________ Classes Desired ___________________________________________________________ Date of Classes _________________ Organization Sponsoring Classes: o ALOA o SAVTA Other ______________________ Location _______________________ If granted an ALOA Scholarship, will you be able to pay for your own air travel/transportation and hotel accommodations? o Yes o No If no, please explain (use another sheet if necessary): ____________________________________________________________ ALOA Scholarships are granted to selected individuals desirous of entering the locksmithing field or to selected individuals already in the locksmithing field who wish to improve their professional skills through education. The ASF Selection Committee on an objective and nondiscriminatory basis will review appli- cations. The Selection Committee shall hold all materials and information pertaining to the applicant’s financial status and background in strict confidence. Ap- plications for non-convention classes must be received 40 days prior to the date of the non-convention class desired and will be reviewed as they are submitted. Applications for classes at the SAVTA or ALOA convention must be received 75 days prior to the event. All scholarships will be awarded within 30 days aſter the event deadline for submission of application. Please include with this form your most recent Federal Tax Return and a letter stating: your financial situation, your reason for applying for a scholarship, what you plan to do with the knowledge you obtain and any other information you feel may be helpful to the Scholarship Board in making its decision. In addi- tion, attach three letters of reference from individuals who have personal knowledge of your background and character. The letters should contain their names, addresses and phone numbers. One reference must be from a locksmith or someone in the locksmith industry, and it is helpful if the person is an ALOA or SAVTA member. All scholarship recipients will be required to provide a 3” x 5” photograph. APPLICATION CHECKLIST each of the items below. o I have filled in each blank on this form. o I have written and enclosed a letter explaining my reason for applying. o I have enclosed three letters of reference (at least one must be from a locksmith or someone in the locksmith industry). o I am submitting 75 days prior to the SAVTA or ALOA convention classes OR 40 days prior to a non-convention class or event. o I have enclosed a 3" x 5" photograph. o I have enclosed a copy of my most recent tax return. CERTIFICATION OF APPLICANT I certify that the information contained herein, and all supplemental forms are complete and correct to the best of my knowledge. I further certify that if I am selected as a scholarship recipient I will use the knowledge gained for the improvement, development and advancement of the locksmithing profession. Also, if asked by an authorized ASF official, I agree to give proof of the information that I have given on this application. I understand that if I choose not to provide the additional proof that I may not receive the Scholarship Award. I understand that this application is valid only for the event/class specified and is not transferable. I understand that I may be asked to give permission to the ALOA Scholarship Foundation Inc. to perform a background check. As a potential recipient of a scholarship awarded by the ALOA Scholarship Foundation, Inc. (ASF), for the purpose of receiving specialized training in lock- smithing or related fields, and as a condition of accepting this scholarship should it be awarded to me, I agree that, should I fail to complete the training for which the award has been issued, without at least 30 days notice or an excused absence granted by the ASF, at the sole discretion of the ASF, I may be held liable for the amount of the awarded Scholarship and I agree to reimburse the ASF for the amount of the scholarship awarded. Should an emergency occur prior to or during the training period that prohibits my attendance at or completion of the training, I understand that it is fully my responsibility to contact the ALOA Educational Director to make arrangements to complete the training or obtain an excused absence or I may be liable for the reimbursement of the Scholarship. Signature ________________________________________________________________________ Date ___________________ Revised 10/2015 Please send all completed applications to The ALOA Scholarship Foundation at the address at the top of the page. Only COMPLETE applications will be considered for scholarships. An application is considered incomplete unless ALL of the requested information is received before the deadline: 75 days for SAVTA and ALOA convention OR 40 days prior to the non-convention classes. Please send this application aſter checking off
