(One application per membership, PLEASE PRINT)

Name:
__________________________________________________________________

Address:
________________________________________________________________

Phone #:
________________________________________________________________

Number of years as a member of Alex Bealer : _______________

Number of meetings attended in the past 12 months: _________ (May 2025 to April 2026)

Minimum of 6 meetings attendance required – please indicate meetings attended:

__ May 2025 – SBA Conference – Madison, GA
__ June 2025 – Ken Baker’s Shop
__ July 2025 – Jim Guy’s Forge
__ August 2025 – Lou Musgrove’s Forge
__ September 2025 - Arts Center West
__ October 2025 - Stephan Fowler's Forge
__ November 2025 - Red Top Mountain State Park
__ December 2025 – Critter Ridge Forge
__ January 2026 – Livingston Metalworks
__ February 2026 – Tom Davenhall’s Forge
__ March 2026 – Michael Dillon’s Forge
__ April 2026 - Jim Guy’s Forge



I certify that I have met all of the qualifications to be awarded a scholarship by ABBA
and that I will fulfill the obligations that go along with accepting a scholarship in a
timely manner.

______________________________________________ (Signature)

__________DATE