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SCHOLARSHIPS
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SCHOLARSHIP APPLICATION
1. Instructions
2. General
3. School Information
4. Work Experience
5. References
6. Disclaimer & Signature
1. Instructions
0%
Please read through the
terms and conditions
of the LDI Tech Up Tool Up Scholarship & Tool Allowance Program
Complete & sign the application. Upload a copy of your high school transcript before submitting.
LDI will review applications and setup interviews with selected candidate(s)
If selected, LDI will notify the candidate(s)
Upon acceptance, student(s) will read through and sign LDI’s Tech Up Tool Up Scholarship & Tool Allowance Agreement. Student(s) will also complete LDI’s new hire process.
2. General
20%
Last Name:
First Name:
M.I.:
Address:
City:
State:
- Please select a state -
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code:
Phone:
E-mail Address:
Date of Birth:
LDI Store 1st Preference:
- Please select a store -
HAYS
ELLINWOOD
SMITH CENTER
COLBY
SALINA
HILLSBORO
TOPEKA
CHANUTE
GARDEN CITY
HUTCHINSON
NO PREFERENCE
LDI Store 2nd Preference:
- Please select a store -
HAYS
ELLINWOOD
SMITH CENTER
COLBY
SALINA
HILLSBORO
TOPEKA
CHANUTE
GARDEN CITY
HUTCHINSON
NO PREFERENCE
3. School Information
40%
Have you already entered into a 2-Year program?
- Please select an option -
Yes
No
High School:
High School Graduation Date:
College you plan to attend:
Anticipated Graduation Date:
Degree you plan to obtain:
Internship required?:
- Please select an option -
Yes
No
Upload High School Transcript:
Upload Current Transcript:
Browse…
4. Work Experience
60%
Company:
Title:
Address:
Phone:
Employed from:
Employed to:
Supervisor:
Company:
Title:
Address:
Phone:
Employed from:
Employed to:
Supervisor:
5. References
Please provide a list of three, non-family members who could tell us about your abilities, skills, and level of commitment. Please include their name, their relationship to you, and their phone number.
80%
Full Name
Relationship
Phone
Full Name
Relationship
Phone
Full Name
Relationship
Phone
6. Disclaimer & Signature
By signing below, I authorize LANG DIESEL INC. to investigate all statements contained in this scholarship application as they may deem necessary in arriving at a decision.
100%
Signature
Date
Apply
Please only hit the Apply button once. A confirmation page will appear once your application has been submitted successfully.
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