Jim Glaser Law's Safe Driver Scholarship
Please submit your application for the 2019 Safe Driver Scholarship through the form below. We look forward to receiving your application!
First and last name
People often don’t take automobile safety seriously. In a 500-750 word essay, tell us how either you or someone you know has been affected by a car accident and the importance of doing your part to keep our roads safe.
Awards & Extra Curricular Activities
Please copy/paste any awards, extra curricular activities or part time jobs you've participated in.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service