Auto-ISAC ACT Advanced Scholarship Form Purpose: Apply for the opportunity to be granted monies for a single ACT Advanced Learning Track course. Question Title * 1. Member Contact Information Question Title * 2. Email Address Question Title * 3. Which of the following options have you already completed? Fundamentals Learning Track (3 courses) Fundamentals Test Out Exam Question Title * 4. Please select your Advanced Learning Track course preference below Engineering (Learning Lab – March 2, 2026) Wireless (Learning Lab – March 3, 2026) EV & EV Infrastructure (Learning Lab – March 4, 2026) Guided Attacks (Learning Lab – March 5, 2026) Question Title * 5. Are you available to attend the corresponding Learning Lab for your course? (Attendance mandatory as part of the scholarship) Yes, I am available to attend the corresponding Learning Lab No, I am NOT available to attend the corresponding Learning Lab Question Title * 6. Upon course completion, will you submit a detailed survey and testimonial to the ACT Team? Yes, I agree to provide a detailed survey and testimonial to the ACT Team No, I DO NOT agree to provide a detailed survey and testimonial to the ACT Team Question Title * 7. Why do you believe you should be selected to receive an ACT scholarship? Please note... Must be an employee of a Member or Paid Partner company. Scholarship recipients will be notified within 10 business days of application submission. Fundamentals completion (FLT or Test Out) is required for scholarship consideration. Attendance at the corresponding Learning Lab is REQUIRED. If you do not attend the corresponding Learning Lab, monies must be returned to Auto-ISAC. Done