Built Ford Tough Dealer Scholarship Sign-Up
The 2021 enrollment period has closed. Contact edougherty@ffa.org with questions.
 
Total Number of Scholarships *
 
 
 
 
 
Dealership Name*
 
 
Mailing address 1*
 
 
Mailing address 2
 
 
City*
 
 
State*
 
 
Zip Code*
 
 
Primary Contact: First Name*
 
 
Primary Contact: Last Name*
 
 
Business Email*
 
 
 

FFA scholarship recipients send thank you notes to the dealerships that sponsor them. If the thank you should be sent to a contact that is different from the primary contact, enter the thank you contact information below. If the thank you should be sent to the primary contact, skip the section below.

 
Thank You Contact: First Name
 
 
Thank You Contact: Last Name
 
 
Thank You Contact: Email Address
 
 
Thank You Contact: Street Address
 
 
Thank You Contact: City
 
 
Thank You Contact: State
 
 
Thank You Contact: Zip Code
 
 
 
 
 
FFA Chapter Information

The dealership would like to award scholarship(s)/grant(s) to the following FFA chapter(s).*
To find a local FFA chapter, search here.

 
Chapter 1 Name*
 
 
Chapter 1 City*
 
 
Chapter 1 State*
 
 
Number of Scholarships for Chapter 1*
 
 
Chapter 2 Name
 
 
Chapter 2 City
 
 
Chapter 2 State
 
 
Number of Scholarships for Chapter 2
 
 
Chapter 3 Name
 
 
Chapter 3 City
 
 
Chapter 3 State
 
 
Number of Scholarships for Chapter 3
 
 
Chapter 4 Name
 
 
Chapter 4 City
 
 
Chapter 4 State
 
 
Number of Scholarships Chapter 4
 
 
Chapter 5 Name
 
 
Chapter 5 City
 
 
Chapter 5 State
 
 
Number of Scholarships Chapter 5
 
 
Chapter 6 Name
 
 
Chapter 6 City
 
 
Chapter 6 State
 
 
Number of Scholarships Chapter 6
 
 
Chapter 7 Name
 
 
Chapter 7 City
 
 
Chapter 7 State
 
 
Number of Scholarships Chapter 7
 
 
Chapter 8 Name
 
 
Chapter 8 City
 
 
Chapter 8 State
 
 
Number of Scholarships Chapter 8
 
 
Chapter 9 Name
 
 
Chapter 9 City
 
 
Chapter 9 State
 
 
Number of Scholarships Chapter 9
 
 
Chapter 10 Name
 
 
Chapter 10 City
 
 
Chapter 10 State
 
 
Number of Scholarships Chapter 10
 
 
 
Payment Options (choose one)*
 
Pay Now (in confirmation email)
Send Invoice
 
 

Per the master agreement between National FFA Foundation and Ford Corporate, should there be no qualified applicant from a chapter named above to receive your scholarship(s), the funds will be converted to a chapter grant and be awarded to each chapter with no qualified applicants.

 
I understand that by submitting this form, I agree to this contribution. I acknowledge that this gift is subject to the policies of the National FFA Foundation, which includes disbursement as a chapter grant, if there is no eligible applicant.*