IOWA MOTOR CARRIERS FOUNDATION 2016 Scholarship Information DEADLINE: MARCH 15, 2016 NO EXCEPTIONS!

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IOWA MOTOR CARRIERS FOUNDATION 2016 Scholarship Information DEADLINE: MARCH 15, 2016 NO EXCEPTIONS! The Iowa Motor Carriers Foundation (IMCF) is proud to offer scholarships to Iowans pursuing education beyond high school. Scholarships awarded by the Iowa Motor Carriers Foundation are available to students majoring in any field of study at a college or university in Iowa. To be eligible to receive an IMCF scholarship, a student must be a permanent resident of the state of Iowa. The student also must currently be attending or planning to attend any of the following types of educational institutions: A community college located in Iowa A public or private trade school located in Iowa A private college or university located in Iowa A public college or university located in Iowa Selections are based on the applicant s academic record and outside activities as they pertain to school and community citizenship. The scholarships are awarded for the fall semester of the year students apply. It is valid only for that academic year and cannot be held over without the approval of the committee. You may only apply for one scholarship. If you received a scholarship from the Iowa Motor Carriers Foundation in 2015, you will be ineligible for application until January 1, 2017. The following scholarships listed are offered by the Iowa Motor Carriers Foundation, you can only apply for ONE SCHOLARSHIP: The Bob Bannister Memorial Scholarship was established by family, friends and colleagues in honor of the late Bob Bannister, an active volunteer and avid supporter of the Iowa Motor Truck Association for over 20 years. Bob was known throughout the industry for his knowledge of the industry and his love of the association. This scholarship was established as a way to keep his spirit alive and honor a true friend to Iowa s trucking industry. The Cummins Central Power Scholarship was established by an endowment from Cummins Central Power and is specifically earmarked for individuals pursuing a degree in diesel technology. The Darryl Mason Memorial Scholarship was established as a way for Darryl to give back to the industry he loved. Darryl was a professional truck driver and a long-time participant in the Iowa Truck Driving Championships. Over the years, Darryl received numerous awards for his professionalism and commitment to safety and also earned a coveted spot on Iowa s Road Team. Darryl passed away in August 2007 after a courageous battle with cancer, and the IMCF is proud to keep his legacy alive through a scholarship named after this great individual. The Harold Dickey Memorial Scholarship was established by an endowment from the Dickey family in honor of the late Harold Dickey, founder of Dickey Transport, Inc. and former chairman of the IMTA. This scholarship is awarded to a student from southeast Iowa. (The Harold Dickey Memorial Scholarship has a separate application Visit www.iowamotortruck.com to access) The Iowa Council of Safety Management Scholarship was established by the Iowa Council of Safety Management, a group of individuals committed to safety and professionalism in the trucking industry.

The L.W. Vern Simpson Memorial Scholarship was established to honor Vern Simpson, the father and treasurer of the Iowa Motor Carriers Foundation as well as founder and president of Mid Seven Transportation. Vern Simpson was a valued leader and friend to the trucking industry and to the association. The Midwest Wheel Companies Scholarship was first formed in celebration of the company s 100th anniversary in 2011 and its strong commitment and desire to make an investment in the future of Iowa. Through this scholarship, Midwest Wheel Companies (MWC) hopes to attract individuals into the field of business and ultimately the trucking industry. As one of the largest truck parts distributors in the Midwest, MWC is proud and honored to offer a scholarship opportunity to an individual who is pursuing a higher education. MWC has seven branches and serves a customer base in Iowa and its six neighboring states. The Motor-Ways, Inc. Scholarship was established by an endowment from Pat Storey and Motor- Ways, Inc. Because of the company s commitment to always giving back to the association and the trucking industry, a scholarship was the natural course of action to further show their support. Motor-Ways provides a variety of insurance products to carriers of all sizes. The Paul Crouse Memorial Scholarship was established by an endowment from the Crouse family in honor of their father, the late Paul Crouse, founder of Crouse Cartage Company and former chairman of the board for IMTA. This scholarship is awarded to a student from western Iowa. The Towing & Recovery Professionals of Iowa Scholarship was established by an endowment in 2012 from the Towing and Recovery Professionals of Iowa (TRPI). This is a division of the Iowa Motor Truck Association which represents Iowa s towing industry. This scholarship is awarded to a student who is either an employee or a family member of an employee working for a TRPI member in good standing. The Ziegler/Caterpillar Diesel Scholarship was established by an endowment from Ziegler, Inc. and Caterpillar, Inc. Another great supporter of the association, Ziegler/Caterpillar established the scholarship in an effort to continually invest in the field of maintenance and diesel technologies. This scholarship is earmarked for individuals pursuing a degree in diesel technology.

IOWA MOTOR CARRIERS FOUNDATION Scholarship Application Form Please read instructions carefully. Each year a number of applications are rejected because they are either incomplete or incorrectly completed. I. Name (Last) (First) (Middle) Present Address (Street, City, State and Zip) Permanent Mailing Address (Street, City, State and Zip) Home Telephone Date of Birth Marital Status Social Security No. Age No. of Dependents I am applying for (check one only): Bob Bannister Memorial Cummins Central Power Darryl Mason Memorial Iowa Council of Safety Management L.W. "Vern" Simpson Memorial Midwest Wheel Companies Motor-Ways, Inc. Paul Crouse Memorial Towing & Recovery Professionals of Iowa Ziegler/Caterpillar Diesel II. High School (Include City and Telephone #) Year of H.S. Graduation ACT Composite Score Cumulative GPA on a scale Class rank of College (Include City and Telephone #) Years of College Completed Grade Average

*School activities, awards and honors (list any offices held): *Hobbies and recreational interests: *If you have ever been arrested, explain: *Use a separate sheet if additional space is needed III. Employment Record (list most recent employer first): 1. Dates Employer s Name Address Supervisor/Title 2. 3. 4. IV. Father s Name Address Occupation Company Company Address For how many years? Company Phone Mother s Name

Address Occupation Company Company Address For how many years? Company Phone Number of siblings at home Number older Number younger V. List three other people (other than family) who may be contacted for recommendations. Please include name, address, telephone and title/position. 1. 2. 3. VI. Prepare an accompanying letter to briefly describe: Why you are applying for this scholarship What your intended career goal is, its estimated cost and your choices of educational institutions VII. Send the following items: (1) The above letter; (2) This application form; (3) A certified copy of your high school and college transcripts VIII. Scholarship recipients will be required to provide a photograph suitable for publication in the Iowa Motor Truck Association s Lifeliner Magazine. SEND TO: Iowa Motor Truck Association c/o Iowa Motor Carriers Foundation Scholarship Committee 717 E. Court Avenue Des Moines, Iowa 50309 DEADLINE: Applications must be postmarked no later than March 15, 2016. Incomplete applications will be rejected. I declare that all the information reported is true, correct and complete. If I am granted a scholarship from the Iowa Motor Carriers Foundation, I agree to submit a report of my grades and educational progress at the time that I receive them from my school. Applicant s Signature Date