Date:______

Name:

Address:

Telephone: Email:------

The money for this scholarship was granted .to the Connellsville Redevelopment Authority for the purposes ofjob development by the Community Foundation of Fayette County and the Chevron Community Fund. Five (5)

$1,000.00 awards will be granted. Scholarships will be awarded based on several factors including financial need and desire to excel. All grants will be awarded by May 31,2017

Requirements:

(Proof will be required)

Current resident of Fayette County, Pennsylvania. Must be over the age of 18.

All prior legal issues (if any) need to be resolved. NO drug use. CDL schools WILL test you.

Ability to pay balance of tuition ($3,000-$5,000) by other means.

A schedule that allows you to take and complete CDL class by May 2017.

Low income (Please provide W-2 or recent paystub)

Please see the chart below. These gross income levels arejust a guideline. Ifyour income is more do not hesitateto apply. All applicants are interviewed anddetermination will be made on a case by case basis. Income is only one of the factors used in the decision-making process.

HouseholdSize / AnnualIncome / Monthly / Weekly
1 / $17,655 / $1,471 / $340
2 / $23,895 / $1,991 / $460
3 / $30,135 / $2,511 / $580
4 / $36,375 / $3,031 / $700
5 / $42,615 / $3,551 / $820
6 / $48,855 / $4,071 / $940

Please use the space below to describe your schooling and prior work experience:





Having CDL license paves the way to a well-paying career, but it is not for eve1ybody. You might be away from home for weeks or even months at a time. In the space below, write why you feel you will excel at this career. If you can, provide examples of times when you finished what you started. Commitment matters.

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On a scale of 1 to 10, how determined are you to succeed?

Please provide the names, telephone numbers and/or email address of two references:

______

______

Pleaseattachcopies:

1. AvalidPADriver'slicense

2. Arecentpieceofmailtoproveresidencyand

3. Recentproofof incometothisdocumentincludingChildSupportorders(ifany).

If I receive the scholarship, I promise to attend and complete the CDL training program of my choice.

SignatureDate:_

THANK YOU FOR YOUR APPLICATION

Attached is information on two of the local CDL training centers.

PLEASE RETURN THIS APPLICATION AS SOON AS POSSIBLE TO:

Michael Edwards Connellsville Redevelopment Authority

124W. Crawford Avenue Connellsville, PA 15425

Presently, there are two local options for obtaining your CDL.

Douglas EducationCenter

ThefirstisDouglasEducationCenterlocatedat130SeventhStreet, Monessen,PA 15062. Thecostfor CDL/ATrainingatDouglasEducationCenterinMonessenis$4,425plusa$50applicationfee. Formore .

SAGE Truck Driving Schools

ThesecondoptionisSAGETruckDrivingSchoollocatedwithintheCareerandTechnicalCenterin NewStantonis$5800.As theclassishousedinahighschool, youwillneedabackgroundcheck.Thecostfor that is included in the tuition. They also offer a CDL/B license which is the license you need to drive a school or shuttle bus,garbagetruck, dump truck,etc. The dates for those classes may be differentthan the start dates listedbelow.For more information, call724-925-3532 or E-mail Ed Roberts at

Shale Energy Institute CDL-A Trucking School

55 Gosai Drive

Bentleyville PA 15314

Amber Crawford, Administrator/Recruiter 724-249-9743

Youmayhavetotakeoutaloanfortheremainderofthetuition.These schoolscanadviseyouabout loanpossibilitiesaswellasjobplacementafteryougraduate. Youmayalsocontactyourownlending institution for a personalloan.