2020 Acton Toyota of Littleton, in conjunction with Toyota Motor Sales USA, wishes to award a charitable scholarship donation to one deserving graduating high school senior student who has been accepted and plan to attend an accredited college or university. The student will win a scholarship of $2,500. This individual must be a student from one of Acton Toyota’s local area high schools (see full list below) in order to participate. The dealership seeks to reward one senior student who has demonstrated real leadership qualities in: (a) the classroom/school, (b) the community, or (c) the athletic field, science lab, music hall, theatrical stage, etc. We want to know what you’ve done to make significant and/or impactful contributions in any one (or more) of these places. Students who wish to apply for the charitable scholarship donations should write a 2-3 page essay documenting their achievements and/or contributions in any one of these three areas. Additionally, students must complete the attached application form and include it with their essay to complete their scholarship application. All students must turn in their applications (application form and essay) no later than Friday, May 15th to their school’s guidance office in order to be considered for the scholarship donation. Acton Toyota of Littleton will review all applications and announce the scholarship winners on its website on Friday, May 29th. Actual grant or payment will be made directly to the high school’s scholarship fund. Through this fund, the charitable scholarship donation will be given to the winning student. Should you have any questions concerning the Acton Toyota of Littleton Scholarship please contact your school’s guidance office. The office can then request clarification from Acton Toyota of Littleton. Thank you and good luck! Eligible Schools for Acton Toyota Scholarship Donation: Acton-Boxborough Regional High School Maynard High School Ayer High School Minuteman Regional High School Chelmsford High School Nashoba Regional High School Concord-Carlisle High School North Middlesex Regional High School Francis W. Parker Charter Essential School The Bromfield School Groton-Dunstable High School Westford Academy Littleton High School APPLICATION FORM AND ESSAY MUST BE TURNED IN TO YOUR SCHOOL’S GUIDANCE OFFICE BY FRIDAY, MAY 15TH, 2020 PERSONAL INFORMATION Applicant’s Name _____________________________________________________________________ (Last) (First) Address _____________________________________________________________________________ (House Number and Street or RFD) _____________________________________________________________________________ (City) (State) (Zip) Name of Parent/Legal Guardian ___________________________________________________________ (Last) (First) CONTACT INFORMATION Telephone _____________________________ Email Address ________________________________ EDUCATIONAL INFORMATION High School __________________________________________________________________________ Intended College/University _____________________________________________________________ Intended Concentration/Major_____________________________________________________ SIGNATURES In submitting this application, I hereby certify that I wrote and am responsible for the included essay. Moreover, I certify the information included in the essay is completely true. I understand that if information is found to be incorrect, this application may be rejected and/or the scholarship money revoked. Also, I understand decisions of the Acton Toyota of Littleton Scholarship are final and are made after thorough consideration of this application. Applicant’s Printed Name _______________________________________________ Applicant’s Signature ______________________________________________ Date ________________ Name of Parent/Legal Guardian __________________________________________ Signature of Parent/Legal Guardian ________________________________________ Date ___________ .