Scholarship Application

International Carwash Association is currently not accepting application.
Stay tuned to www.carwash.org for updates.

Last Name:_____________________________________________________________

First Name:_______________________________________ Middle Initial __________

Address:_______________________________________________________________

City:_____________________________________ State:____ Postal Code:_________

Phone Number: _________________________________________________________

Social Security # (for student identification & records):__________________________

Name of High School:_____________________________________________________

City, State:______________________________________________________________

High School Cumulative GPA:_______________ Class Rank:_____________________

ACT or SAT Score: ______________________ Graduation Date:__________________

Name of car wash employer/sponsor: ________________________________________

Name of car wash supervisor:_______________________________________________

Address:________________________________________________________________

City:_________________________________ State:______ Postal Code:____________

Phone Number:___________________________________________________________

Name of accredited post-secondary educational institution attending in the Fall, 2009:

________________________________________________________________________

Please list high school activities, leadership roles, community involvement, membership and honors you have received. (Please use a second sheet, if necessary):

________________________________________________________________________

Essay
On a separate sheet of paper, please type or clearly print your answer to below question.  (Answer should not exceed 500 words)

 What lessons have you learned while working in the professional car wash industry?

International Carwash Association is currently not accepting application.
Stay tuned to www.carwash.org for updates.

International Carwash Association, 401 N. Michigan Avenue, Suite 2200,
Attn: Sarah Murphy, Chicago, IL, USA 60611.
Tel: 888-422-8422; Fax: 312-245-1085; E-mail: smurphy@smithbucklin.com