AFSCME Local 1703

American Federation of State, County, and Municipal Employees, AFL-CIO

 

The Public Employee Union

 

 

SCHOLARSHIP PROGRAM APPLICATION

 

The AFSCME Local 1703 Scholarship Program awards four scholarships of $1,500 each, annually, to the children of active Local 1703 members.

 

Any graduating high school senior who is the son or daughter of an active Local 1703 member, and who intends to enroll in a full-time degree program at an accredited university, college, community college, trade or technical school is eligible to apply.

 

The winners will be selected from the applicants who meet the eligibility requirements and will be notified before July 1st.The scholarships must be used in the year they are awarded.

 

INSTRUCTIONS

 

1.            Please type or print.

 

2.            Complete APPLICANTíS section.

 

3.            Have your parent complete PARENTíS section.

 

4.            Submit the result of either the Scholastic Aptitude Tests (SAT) or the American College Tests (ACT).

 

5.            Include an official copy of your high school transcript.

 

6.            You may include letters of recommendation or other evidence of your character or abilities.

 

7.            Mail your completed application, with all supporting documentation to the following address:

 

††††††††††††††††††††††††††††††††††††††††††††††† AFSCME Local 1703

††††††††††††††††††††††††††††††††††††††††††††††† Scholarship Committee

††††††††††††††††††††††††††††††††††††††††††††††† P.O. Box 855

††††††††††††††††††††††††††††††††††††††††††††††† Burlington, MA 01803-5855

 

8.            Your completed application must be mailed and POSTMARKED NO LATER THAN APRIL 30.

 

 

AFSCME Local 1703

American Federation of State, County, and Municipal Employees, AFL-CIO

 

The Public Employee Union

 

 

APPLICANTíS SECTION

 

NAME ___________________________________________________________

 

Address _________________________________________________________

 

†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††

City†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† State†††††††††††††††††††††††††††††††††††††† Zip

 

Date of Birth ≠≠≠≠≠______________________________________________________

 

Graduation Date ___________________________________________________

 

Name and location of school you plan to attend:

 

 

List all extra-curricular activities, both in and out of school:

 

 

 

 

 

 

 

 

 

 

List any academic awards and/or honors received:

 

 

 

 

 

Work Experience:

 

 

 

 

 

 

AFSCME Local 1703

American Federation of State, County, and Municipal Employees, AFL-CIO

 

The Public Employee Union

 

 

PARENTíS SECTION

 

 

NAME ___________________________________________________________

 

Address _________________________________________________________

 

†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††

City†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† State†††††††††††††††††††††††††† Zip

 

 

Work Location:

 

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