Formula Ford Scholarship Application Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Referred By First Last What is the likelihood that you will become an RMVR regular race driver?*DefinitelyProbablyNot SureProbably NotDefinitely NotDo you own a Formula Ford (vintage or Club Ford)?*YesNoWhat are your plans and timing for purchasing a Formula Ford or another race car?*Do have, or will you have within 1 year, sufficient funds to purchase an RMVR eligible race car, trailer and tow vehicle?*Are you now or have you been an RMVR member?*YesNoHow long have you been, or were you, an RMVR member (years)?Please enter a value between 1 and 30.Have you been an RMVR worker?*YesNoHow long were you, or have been, an RMVR worker (years)?Please enter a value between 1 and 30.Have you been honored as a 100 hour worker?YesNoDescribe any racing or track driving history, driver schools or other driver relevant training*State why should you be considered for the Formula Ford Scholarship Arrive & Drive Program*By submitting this application electronically or otherwise, the Applicant agrees to the following: This waiver of liability is incorporated and applicable for any use of the race car. Safety is an overriding concern for RMVR. Policies and rules are in place and inspections are done to attempt to help assure a safe racing environment. The recipient of this Scholarship is expected to know and follow the RMVR rules and policies. However, human and mechanical factors are always present which can cause accidents. Race car driving can be a dangerous sport. Many hazards including contact with other cars or contact with solid objects may be encountered. Neither RMVR nor any of its members or car owner assume responsibility for any damage or injuries caused by your choosing to enter an RMVR event or other track event. The driver of the scholarship car and his/her successors agree to indemnify and hold harmless James & Carol Stiehr (the car owners), Rocky Mountain Vintage Racing, Ltd. (RMVR), and RMVR members from any damage, injury or death which may result from activities related to RMVR and/or the scholarship car. The driver of the scholarship understands that the scholarship car is over 50 years old, lacks many modern safety features, is subject to material or design failure and agrees that there is no warranty or representation that the car will perform or function without incident or breakdown the occurrence of which may result in damage, injury or death. As with any racing, in the event of damage to the car due to an accident (regardless of fault) or abuse of the car, including but not limited to damage that may have been indicated by any gauge in the car, the driver is responsible for repairs. In the case of driving the Scholarship car, to minimize repair costs, repairs to the Scholarship car will be done as much as possible by collective free voluntary time and talent of the RMVR FF Racers Group. But all out-of-pocket costs for needed repairs will be the responsibility of the driver. To limit financial exposure, that out-of-pocket liability to the driver for damage and repairs will be capped at a maximum of $2,500. By pressing the Submit button below, you are agreeing to the above.