For Award consideration - please forward this application, along with transcripts, college acceptance notification, and photographs to
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1 Model A Ford Youth Scholarship MAFYS Application Instructions Purpose: The purpose of the Model A Ford Scholarship is to assist young Model A hobbyists with the financial burden of an education beyond high school. The Fund will provide up to $4,000 total over a four-year period to qualified applicants. Accredited trade schools, junior colleges and four-year colleges are acceptable. The principal requirement for financial aid is a demonstrated continuing interest in the Model A Ford hobby, plus a demonstrated ability to succeed in school. For Award consideration - please forward this application, along with transcripts, college acceptance notification, and photographs to Jo Johnson, President Model A Ford Youth Scholarship Fund 375 High Head Road Harpswell, ME Submission deadline: Postmarked no later than May 1st Eligibility Requirements: The Applicant must be a member, or a child, grandchild, great-grandchild of a member in good standing of a either the Model A Restorers Club (MARC) or the Model A Ford Club of America (MAFCA). The Applicant must have graduated high school. The Applicant must be accepted into a postsecondary educational institution. This award may be renewed up to three consecutive additional years by confirming Model A Youth Scholarship Fund Application Page 1
2 academic enrollment, maintaining a 2.5 (out of 4) grade point average, and remaining active with a regional club of either MARC or MAFCA. In order to continue to receive this award, notification of meeting this criterion MUST be received by Jo Johnson prior to August 15 th. Members of the Scholarship Selection Committee and their family members are NOT eligible to apply for this scholarship. 1. Name: Birthdate: (Must not be past 25 th birthday as of May 1 of applied year) Signature: Date: 2. address: This address will be used for all future communication with the applicant 3. Address: 4. City, State, Zip code: 5. Home telephone/cell phone: 6. Parents / Legal Guardian name and addresses Name: Relationship Name: Relationship Street Model A Youth Scholarship Fund Application Page 2
3 City/State/Zip School you will be attending. 7. The most recent transcript of your grades, for the purpose of verifying that you have maintained a 2.5 average. This must be sent to MAFYSF s President by mail. 8. What MARC or MAFCA regional club are you currently a member? If you are not currently a member of a MARC or MAFCA regional club, please list the name of the MARC or MAFCA member who is sponsoring you. Name: Relationship Club Name and Address: 9. Model A Participation: Use the space below to describe your participation in the Model A hobby. Provide information that highlights your knowledge and involvement of the Model A, and it s era. Have you modeled, created era fashions, created ads or pictures for publications? Describe your specific involvement with your Model A Club or sponsor indicated in Question 8. Use additional space as necessary. Model A Youth Scholarship Fund Application Page 3
4 Model A Youth Scholarship Fund Application Page 4
5 10. Based on your answer to Question 9, please explain why the Model A era hobby is important to you and describe how you envision your growth in the Model A hobby in the future. Model A Youth Scholarship Fund Application Page 5
6 Model A Youth Scholarship Fund Application Page 6
7 1. How long have you been involved with the Model A hobby? Since 2. Do you personally own a Model A Ford? Yes ( ) No ( ) If yes, is it titled in your name? Yes ( ) No ( ) If No, explain 3. If you don t personally own a Model A, skip to question 4. Is your car drivable? Yes ( ) No ( ) If No, describe its condition Do you intend to restore it? Yes ( ) No ( ) If No, explain why not 4. Do you drive a Model A Ford? Yes ( ) No ( ) If yes, whose car? Mine ( ), Parents ( ), Friends ( ), check all that apply. 5. To what extent are you involved in the care of a Model A? Check all that apply: Clean and polish ( ), Minor maintenance ( ) Describe Major maintenance ( ) describe the most complex 6. Do you subscribe to A World? Yes ( ) No ( ) How many years? ( ) 7. Have you ever built a Hubley Model A? Yes ( ) No ( ) 8. If #7 is Yes, did you ever enter it in a Hubley competition? Yes ( ) No ( ) 9. What club events do you participate in, e.g., meetings, regional meets, picnics, etc.? Model A Youth Scholarship Fund Application Page 7
8 10. What is/are your favorite subjects in school? 11. In which subjects do you get the best grades? 12. In which extra-curricular activities do you participate? (sports, clubs, etc.) Tell us more about yourself, such as: what are your plans after you complete school? What do you like the most about the Model A Hobby? In what parts of it have you been involved? Are there some Model A activities that you plan to become involved with in the future? What other hobbies do you enjoy? Tell us anything that you might think would let us know more about the real you and your Model A interests. (Confine your answers to this and one more page.) Model A Youth Scholarship Fund Application Page 8
9 Member Recommendation Name of Club member making Recommendation Address of member address and phone number Name of Club How long have you known the applicant? Model A Youth Scholarship Fund Application Page 9
10 Does the applicant participate in any club events, eg. Picnics, meets, meetings, rallies, era fashions, parades, etc.? Yes No If yes, in what types of events does the applicant participate? If you have any additional information relating to the Model A hobby that you feel would help in qualifying the applicant for a scholarship, please include below. Application Checklist Model A Youth Scholarship Fund Application Page 10
11 A completed scholarship packet includes: A completed application High school transcript Postsecondary education acceptance notification letter Two copies of good quality photos of you. Please note: no professional photographs are acceptable as it is not legal to use them without special written permission. Member Recommendation Incomplete application will not be considered. Winners of this Award will be notified by June 15th The scholarship offered by the Model A Ford Youth Scholarship Fund is an Equal Opportunity Scholarship. No decision made in awarding this scholarship is based on race, color, religion, national origin, disability, age, sexual orientation, gender or ancestry. The Model A Ford Youth Scholarship Fund is a not-for-profit 501(c)3 organization. YOU MAY OBTAIN THESE APPLICATIONS ON THE MAFCA AND MARC WEBSITES, OR FROM JO JOHNSON AT jo.johnson@comcast.net Model A Youth Scholarship Fund Application Page 11
12 Model A Youth Scholarship Fund Application Page 12
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