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Teamsters Local 200 Scholarship Fund

2010 APPLICATION

 

All Applicants must comply with the following eligibility and application criteria:

 

EACH APPLICANT MUST:


 1) Be the Son, Daughter, Stepson, Stepdaughter or Grandchild of an active or retired Local 200 Member

 2) Be in his/her last year of High School (Do not apply if previously graduated)

 3) Plan to attend a College/University/Technical School in 2010

 4) May not be a relative of the Scholarship Committee or Local 200 Executive Board

 5) Be received no later than May 15, 2010




Mail completed form to: 

Teamsters Local 200 Scholarship Fund
P.O. Box 320571
Franklin, WI 53132 

Please feel free to attach separate sheet if needed

Any questions, you may contact Tony Ceretto at (414) 507-4139

 



TEAMSTERS LOCAL 200 SCHOLARSHIP FUND                  2010 APPLICATION              

PERSONAL INFORMATION

Name

Date:

Date of Birth:

SSN (Last 4:)

Date:

Permanent Home Address:

City:

State:

ZIP Code:

Telephone No.:

Sex:     F      M   (Circle One)

 

Graduation Date:
(Please ONLY apply if you are graduating during the 2009-2010 Academic Year)

No. of Students in your Class:

Class Rank:

Your Cumulative GPA:

Name of High School:

Address:

City:

State:

Zip:

LOCAL 200 INFORMATION

Full Name of Parent/Grandparent/Legal Guardian (Active or Retired):

Address:

SSN (Last 4):

City:

State:

 

Occupation:

Name of Employer:

SPECIAL ACHIEVEMENTS & GOALS (Attach Separate Sheet if Needed)

LIST ALL ACHIEVEMENTS/ACCOMPLISHMENTS IN ACADEMICS, ATHLETICS AND/OR COMMUNITY SERVICE

 

 

 

 

COLLEGE/UNIVERSITY/TECHNICAL SCHOOL (you plan to attend and/or applied)

Full Name of (First Choice):

Full Name of (Second Choice):

WHAT LIFE WORK DO YOU WISH TO PREPARE YOURSELF FOR
AND YOUR REASONS FOR ARRIVING AT THIS GOAL:

 

 

 

 

 

 

 

OTHER INFORMATION

Have you received any other Scholarships this year? (Circle One)         YES                   NO 

If yes:  

From Who:

How Much:

 

 

 

 

 

 

WHAT ROLE DO YOU SEE UNIONS HAVING IN THE
FUTURE OF AMERICA'S WORKING MEN & WOMEN
(Attach Separate Sheet if Needed)