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Conference of Minority Transportation Officials
Application Guidelines and Instruction
All applications must be complete for consideration and must include all of
the following:
Complete scholarship application form with signature. PLEASE WRITE
LEGIBLY.
Essay introducing yourself, stating your community service, extracurricular activities and career goals (typed maximum 600 words). In
your personal statement, please answer the following question
“Why do you think you should receive a scholarship award and how your
experience as a minority has either hindered or fostered your educational or
social development?”
Two(2) recommendations from any of the following: a teacher or
academic advisor, a community organization where you have worked
or volunteered, an employer or a person other than a relative
Request Form for Official School Transcript (weighted GPA’s will be
considered) given to your school
Graduation Photo (not proofs) or head shot photo suitable for printing
in a brochure
Proof of United States of America citizenship (see list of approved
documents)
Additional copies of the application can be downloaded from our
website: www.comtophilly.org
Scholarship certificates will be awarded to recipients at the 16th Annual
Scholarship Luncheon Friday June 5, 2015, at The Courtyard Marriott 21 North
Juniper Street Philadelphia, PA. COMTO expects and appreciates your
attendance at this event.
All scholarship money will be disbursed to the school upon official
verification of enrollment in the 2015-2016 school year. This should be in the
form of an official class roster or letter from the registrar. You must also
submit the Bursar’s mailing address and your student account number.
Application deadline: Must be postmarked by Monday, March 23, 2015 by
5:00 pm (no exceptions will be made for late or incomplete filing). Please be
sure to follow all instructions carefully as follow-up calls will not be made.
Mail Applications: COMTO Scholarship
P.O. Box 40746
Philadelphia, PA 19107
Attn: Michelle Raye, Scholarship Chairperson
Phone: 215-580-3403/Email: [email protected]
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Conference of Minority Transportation Officials
Philadelphia Area Chapter
2015 Scholarship Application
PRINT OR TYPE
Date of Application: _____________________
General Information
First Name ___________________M.I.____ Last Name________________________________
Permanent Address of Applicant: __________________________________________________
Street
_____________________________________________________________________________
City
State
Zip
Telephone: _______________________Cell Phone______________________
Email Address: ___________________________@_____________
Date of Birth: _________________________
Month
Day
Year
Are you a COMTO Member? Yes___ No ___
Are your parent(s) COMTO Member(s): Yes ___ No __
________________________________
Parent name(s)
Academic Information
Name and address of High School/College/University in which you are currently enrolled:
______________________________________________________________________________
Name and address of College/University/Vocational or Graduate school you plan to attend in Fall
2015
______________________________________________________________________________
Grade & Year Graduating ___________________ Major/Minor __________________________
Cumulative Grade Point Average : ________on a _______scale (weighted Yes or No)
Honors & Awards: (Please identify your honors & or awards, academic or non-academic on a
separate sheet of paper)
Other: (Please list any other information concerning your high school/college/vocationaltechnical institution experience or civic activities you want the Evaluation Committee to consider):
_____________________________________________________________________________
_____________________________________________________________________________
Signature___________________________________Date_______________________________
Deadline and Mailing Information:
All applications must be complete for consideration. Submit only one application, you will be
considered for all scholarships for which you qualify. Applications must be postmarked by Monday,
March 23, 2015. Winners will be notified by Monday, May 4, 2015. Additional applications can be
downloaded from our website: www.comtophilly.org
Date Application Received by COMTO ________________________(for official use only)
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ESSAY Maximum 600 words (Typed)
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Please make sure your submission is complete:
CHECK LIST
NAME_____________________________
_____ COMPLETED APPLICATION WITH SIGNATURE
_____ ESSAY Maximum 600 words
_____ TWO RECOMMENDATIONS
_____ REQUEST FOR TRANSCRIPT (Copy) Transcripts may be forwarded directly by your school
_____ PHOTO
_____ PROOF OF UNITED STATES CITIZENSHIP (see attachment A for acceptable
documents)
Complete the application package in its entirety.
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CONFERENCE OF MINORITY TRANSPORTATION OFFICIALS
2014-2016 Philadelphia Area Chapter Officers
Emille Williams Devonne Jackson John S. Williams Darryl Wade Michelle Raye Jeri L. Morton Agnes Daniels
President
215-580-7069
1st Vice President
215-979-7700
2nd Vice President Treasurer Assistant Treasurer Secretary
215-580-7480
215-580-8410 215-580-3403 267-496-2758
Financial Sec.
215-580-7422
INSTRUCTION: Applicant must submit this form to the respective academic advisor. The application is not considered
complete until all information (including the official transcript) has been received by the Scholarship Chairperson.
REQUEST FORM (2015)
OFFICIAL SCHOOL TRANSCRIPT
The student listed below is applying for the Philadelphia Chapter Conference of
Minority Transportation Officials (COMTO) 2015 Scholarship. Please send your
official school transcript with a Cumulative Grade Point Average directly to:
COMTO Philadelphia Area Chapter
P.O. Box 40746-0747
Philadelphia, PA 19107
Attention: Scholarship Chairperson
Student Signature_____________________________________
Print
FULL
NAME_____________________________________________
ADDRESS____________________________________________
____ High School currently enrolled (academic, technical or vocational)
____ College or University currently enrolled
____ Graduate School currently enrolled
*TRANSCRIPTS MUST BE POSTMARKED BY
FRIDAY, MARCH 27, 2015
Website: www.comtophilly.org
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