FTBA Scholarship Fund, Inc. Contribution Form

FTBA Scholarship Fund, Inc. Contribution Form The FTBA Scholarships are available to any Florida resident that is a graduating high school senior whose parent, parents or legal guardian is a member or is employed by a firm who is a member of the Florida Transportation Builder’s Association. Scholarships are granted in varying amounts annually for a period up to four (4) year, so long as the applicant is making satisfactory progress in his or her field of study. Verification of satisfactory progress is required from the school annually. Curriculum requirements are only that the applicant attend an accredited college or university. There are no geographic limitations on the school of choice. Scholarship applications will be evaluated on (a) their application, (b) school transcript and ACT or SAT scores, and (c) letters of recommendation. Contributions to the FTBA Scholarship Fund are 100% tax deductible. We would be happy to receive contributions at any time. To donate to the FTBA Scholarship Fund please send this form, along with your check made payable to FTBA Scholarship Fund to: FTBA - Attn. Scholarship Fund 1007 E. Desoto Park Dr. Tallahassee, FL 32301

FTBA Scholarship Fund, Inc. Contribution Information Date: ________________________ Name: _______________________________________________________________________________ Company Name: _______________________________________________________________________ Address: _____________________________________________________________________________ City: ____________________________

State: ___________________

Zip: __________________

Phone Number: ________________________________________________________________________ Amount Contributed: ___________________________________________________________________

FTBA Scholarship Fund, Inc. FIN 20-8084278