SHORT LINE EDUCATION FUND - GOLDEN SCHOLARSHIP APPLICATION FORM

ASLRRA is awarding $24,000 in scholarships to employees of small railroad members, thanks to two generous donations from retired former board member Doug Golden, through the Douglas Golden-Mary Cullen Charitable Fund.

Scholarships of up to $1,200 each are available to employees of ASLRRA small railroad members, defined as those earning $10 Million or less in annual revenues. Scholarships may be used for industry-specific training that will help improve railroad safety & compliance practices and enhance overall operations. Eligible topics include: track, bridge, and signal inspection & maintenance; locomotive and freight car inspection & maintenance; regulatory/compliance training; and, railroad safety and operations training.

A portion of the scholarship funds have been set aside to support employees of ASLRRA member railroads in the Southern and Eastern Regions of the U.S. Scholarships are awarded to qualified candidates on a rolling basis throughout the year. To apply, please complete this form and attach requested materials and documentation. Applicants will be contacted by an ASLRRA representative if additional information is required and once an award decision is made.

APPLICANT NAME

First Name Last Name

APPLICANT TITLE

APPLICANT PHONE

Area Code Phone Number

APPLICANT EMAIL

example@example.com

EMPLOYER (RAILROAD) NAME

EMPLOYER (RAILROAD) ADDRESS

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

ORIGINAL DATE OF HIRE AT RAILROAD

Date

PLEASE PROVIDE A BRIEF DESCRIPTION OF YOUR ROLE AND RESPONSIBILITIES AT THE RAILROAD.

NAME OF SUPERVISOR OR RAILROAD HUMAN RESOURCES CONTACT

First Name Last Name

SUPERVISOR TITLE

SUPERVISOR PHONE

Area Code Phone Number

SUPERVISOR EMAIL

example@example.com

NAME OF ORGANIZATION OFFERING TRAINING PROGRAM

ORGANIZATION WEBSITE

www.example.com

TRAINING CONTACT PHONE

Area Code Phone Number

TRAINING CONTACT EMAIL

example@example.com

NAME OF TRAINING PROGRAM

e.g. FRA Part 240-242 Training Seminar

TRAINING PROGRAM DATE(S):
Date TO Date

TRAINING PROGRAM DESCRIPTION. PLEASE INCLUDE ANY CERTIFICATIONS YOU WILL RECEIVE OR EXPECTED TAKEAWAYS. (THIS MAY BE COPIED FROM WEBSITE OF ORGANIZATION OFFERING TRAINING)

ADDRESS WHERE TRAINING WILL BE HELD (If virtual, please state "VIRTUAL" in street address line)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

PROGRAM REGISTRATION FEE

ex: $395 (receipt will be required for reimbursement)

ESTIMATED COST OF TRAVEL AND LODGING

ex: $500 airfare + $300 hotel (receipts will be required for reimbursement)

PLEASE PROVIDE A BRIEF STATEMENT ABOUT WHAT YOU EXPECT TO LEARN AT THE TRAINING EVENT AND HOW THE TRAINING WILL HELP YOU IN YOUR JOB.

Scholarship recipients will be reimbursed up to $1,200 for training-related expenses, including course registration fees, travel, and lodging (meals are not included). Copies of receipts and documentation of course completion, including any certifications earned, must be provided.

By submitting this application, scholarship recipient agrees to participate in a brief phone interview and provide on-the-job photos that may be published in an issue of ASLRRA's e-newsletter, featured on the association website at aslrra.org, and/or included in other print and electronic materials.

Please label and attach supporting materials, if any.

Browse Files

ASLRRA SHORT LINE EDUCATION FUND