Application Form

 

 

Francis G. Osborne,

John P. Sullivan

And Terry Merriman

$1,000 Scholarship Awards

 

Two $1,000 Scholarships for use at any

Accredited University, Junior College

or Accredited Vocational School

 

                                                                   Sponsored by

                                   Local 7200, Communications Workers of America

                                                          Minneapolis, Minnesota

                             

 

Application of _____________________________________________­­__________________

                                Last Name                           First Name              Middle                               Male/Female

 

Home Address _______________________________________________________________________

                                 Street                                         City                                     State                     Zip Code

 

High School _________________________________________________________________________

                                                                                                                           Year of Graduation

Member’s Name and Social Security Number _____________________________________________________

 

Parent’s Work Location __________________________________________________________________________

 

Home Address _______________________________________________________________________

                                 Street                                         City                                     State                     Zip Code

 

Home # _____________________________Work # ______________________________

 

TO BE COMPLETED BY APPLICANT:

Date of Birth_____________________________

 

School attending and educational objective______________________________________________

 

_________________________________________________________________________________

 

_________________________________________________________________________________

 

What field of study are you planning to enter ___________________________________________

 

_________________________________________________________________________________

 

 

DRAWING INFORMATION:

Name___________________________________________________________________________

 

Home Address____________________________________________________________________

 

Telephone #______________________________________________________________________

 

Member’s Name __________________________________________________________________

 

 

TO BE COMPLETED BY LOCAL UNION OFFICER

 

 

I certify that _____________________________________________________________________________________

                                                                            Parent or Applicant’s Name

 

is a member in good standing of the: Communications Workers of America, Local 7200 and has held membership in this local union for a period of one year prior to the date of this scholarship application, a requirement for the applicant’s eligibility.                     

 

Local Union Officer _____________________________________________________________________________

                                             Name                                                   Title                                              Date

 

Address   3521 East Lake Street, Minneapolis, Minnesota, 55406 – 612-722-7200          

 

 

 

THIS APPLICATION MUST BE POSTMARKED NO LATER THAN MAY 28 OF THE CURRENT YEAR

 

 

Send to:  Education Committee

Local 7200, Communications Workers of America

3521 East Lake Street

Minneapolis, MN 55406

612-722-7200

 

IMPORTANT QUALIFICATIONS

 

I.                                 Applicant must be a current graduating senior of any Private or Public High School.

 

II.                               Applicant, or father, mother or guardian must be a member in good standing for a period of one year or more of Local 7200, Communications Workers of America, a son or daughter of a retired, deceased or disabled member of Local 7200 who was in good standing in Local 7200 at the time of disablement or death.

 

III.                                  Applicant must have a C average or better.  Send copy of your latest report card or a letter from your school verifying grade point average.

 

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