Scholarship FoundationApplication

The URG Scholarship Foundation was founded in 2014. It is dedicated to those individuals who gave their talent, their time and very often their own finances to ensure the growth and success of the automotive recycling industry. As a result of their vision and efforts,United Recyclers Group was formed. Since its beginning in 1995, United Recyclers Group has flourished under the leadership of it past and current voluntary Board of Managers. URG’s commitment to its members has remained constant. Created by Auto Recyclers for Recyclers, URG remains focused in the areas of education, business acumen, and most importantly, supporting the automotive recycler in their efforts to provide superior service and exceptional products to the repair industry.

ThankyouforyourinterestintheURG Scholarship FoundationAward. Tofileanapplication,itwillbenecessarytoprovidethe requested information, along with theenclosedformsasdirected.Funding is restricted,therefore onlyalimitednumberofscholarshipsareavailable. Applicantwillbefirmlyheldtothegradepointaveragecriteriaanddeadlineaslisted below. Qualified candidates may reapply annually for a maximum of 4 awards. If selected, proof of full-time enrollment in a secondary learning institution will be required.

APPLICANTMUSTMEETTHEFOLLOWINGQUALIFICATIONS:

1.Be either a full-time employee of a Licensed Automotive Dismantler, employed at least 1 year, or a child of an employee of a Licensed Automotive Dismantler, employed at least 1 year, whose business organization (Owner) is amemberofURG in good standing. Owners, or childrenofowners,andthoseowningover $100,000ofstockintheemployingfirmarenoteligible

2.Beenrolled in a post-highschoolprogramatacollege,university,orschoolprovidingtrade,businessortechnicalprograms, taking a minimum of 6 credit hours or equivalent if a full-time employee, or taking a minimum of 12 credit hours or equivalent if a full-time student.

3.Haveachievedatleasta3.0GPA,ortheequivalent,intheirpreviouseducationalprogram.

APPLICANT SHOULD PROVIDE THE FOLLOWING INFORMATION WITH THEIR APPLICATION:

1.Transcripts of academic record from highschool,college,universityorotherinstitution. Thetranscriptmustincludegradesforthe preceding falland spring terms.Iftheinstitutiondoes notusea4.0gradingsystem, anexplanationofthesystemmustaccompanythetranscript.

2.Completed"ApplicationForm"and"ProfileSheet."

3.Letter of verification from the URG member company where the applicant or the parent of the applicant is currently employed and in good standing with his or her employer.

4.Completed "CertificationForm" signed by parent if applicant is not an employee.

5.Mail or email all required documentation to the following no later than Friday, April 1, 2016.

United Recyclers Group Scholarship Foundation

1500 W. University Avenue, Suite

Georgetown, TX 78628

Scholarship FoundationApplication

SocialSecurity#: Click here to enter text.Date: Click here to enter a date.

FullName: Click here to enter text.

First, Middle, Last

1.HomeAddress: Click here to enter text.

City: Click here to enter text. State/Province: Click here to enter text. Zip/PostalCode: Click here to enter text.

Country:Click here to enter text. Telephone: Click here to enter text. Email: Click here to enter text.

2.DateofBirth: Click here to enter a date. ExpectedDateofHigh School Graduation:Click here to enter a date.

3.Nameandaddressofthe schoolyou are currently attending:

Name: Click here to enter text.Street Address: Click here to enter text.

City: Click here to enter text. State/Province: Click here to enter text. Zip/PostalCode: Click here to enter text. Country: Click here to enter text.

4.Nameandaddressofthecollegeorschoolyouplantoattendnextyear:

Name: Click here to enter text.Street Address: Click here to enter text.

City: Click here to enter text. State/Province: Click here to enter text. Zip/PostalCode: Click here to enter text. Country: Click here to enter text.

5.Ifthe applicant is a child of an employee, please provide the nameofthe parentwhois currentlyemployedbyaURGMember in good standing.(Reminder:Owners, or childrenofowners,andthoseowningover$100,000ofstockintheemployingfirmarenoteligible.)

Parent FullName: Click here to enter text.

6.Applicant’s or Parent’s current occupation: Click here to enter text. Hire Date: Click here to enter a date.

7.Name of applicant’s employer or applicant’s parent’s employer.

Company Name: Click here to enter text. Owner’s Name: Click here to enter text.

Company Address: Click here to enter text.

City: Click here to enter text. State/Province: Click here to enter text. Zip/PostalCode: Click here to enter text. Country: Click here to enter text.

Scholarship FoundationApplication

Profile Sheet

Provide responses using complete sentences, correct spelling, etc. for the information requested in the spaces below.

1.Briefly statewhatcourseofstudyyouwishtopursueincollegeandwhatyourgoalsare(reasonsforattendingcollegeandchoosingthisfield.)

2.Briefly statewhatkindofpersonyouthinkyouare.Whatself-improvementswouldyouliketomake?

3.Howdoyouevaluateyourcurrentacademicrecord, high school or college,ascomparedtoyourability?

Scholarship Foundation Application

Profile Sheet (Continued)

4.Listyouractivities over the last 3 years of your academic career:

Current Year / Last Year / 2 Years Ago
Office(s)Held
Music/Art
Athletics
CommunityService
Clubs

Scholarship Foundation Application

Profile Sheet (Continued)

Listyouractivities over the last 3 years of your academic career:

Current Year / Last Year / 2 Years Ago
Part-Time Employment
UIL
Honors / Awards
College Involvement
Other

Scholarship Foundation Application

Profile Sheet (Continued)

5.Whichactivity or activitiesabovecontributedmosttoyourdevelopment?Why?

URG Scholarship FoundationApplication

CERTIFICATION

This form must be signed by applicant’s parent if applicant is not an employee.

PrintApplicant’sNameClick here to enter text.

Icertifythefollowingtobetrueandcorrect:

(Choose 1)a. TheURGScholarshipapplicantnamedaboveisadependentstudentwhoreceivesfinancialassistancefromme.

b. TheURGScholarshipapplicantnamedaboveisclaimedbymeindividuallyorjointlyasadependentforfederalincometaxpurposes.

c. The URG Scholarship applicant named above is a full-time employee of a Licensed Auto Dismantler, employed for at least 1 year.

And, the applicant or parent doesnotholdover$100,000instockorownershipoftheemployingfirm.

Date: Click here to enter a date.

Signature

Name: Click here to enter text.Email: Click here to enter text.