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OFFICIAL APPLICATION:
2010
BILL EGAN SCHOLARSHIP – UNIT 101
(Please print or type-All
Questions on this application must be completed)
Name of Applicant_________________________________________________DOB:___________
(as used on student records)
Name of IBEW
Member/Sponsor_____________________________________________________
Member
Initiation____________________________ Member Card
No_______________________
(Month) (Year)
Relationship to Member_________________________ Local 1547 Unit
No___________________
Full Mailing Address of Applicant:
Street__________________________________________________________________________
City________________________________State_______________________Zip______________
Contact Phone
Number(s)__________________________________________________________
Personal
Reference:______________________________________________________________
(Name)
(Phone)
_______________________________________________________________________________
(Address)
Are you a graduating high school senior?
Yes
No
If yes, school and date of
graduation________________________________________________
Name and City of Accredited College, Recognized Technical or Trade
School you have been accepted into (please attach a copy of acceptance
letter):
_______________________________________________________________________________
Are you currently attending college?
Yes
No
If yes, school and what years
attending/attended_____________________________________
I am/will study for a degree in the following field:
_______________________________________________________________________________
Have you done any college level work?
Yes
No
If yes, have those transcripts been forwarded to the scholarship
committee? Yes
No
Employment Experience (Applicant)
Most Recent
Employer:____________________________________________________________
Employer's
Location:______________________________________________________________
(Address)
_______________________________________________________________________________
(City)
(State)
Employer's Principal
Business/Division/Industry:_________________________________________
Your Job
Classification:_____________________________________________________________
____________________________________________
_______________________________
Signature of Applicant
Date
____________________________________________
_______________________________
Signature of IBEW Sponsoring Member
Date
Additional Requirements
Please provide the following with your application:
·
A five hundred word essay on your personal interests and aspirations,
including what the
IBEW means to you and how this Union has impacted your life.
·
Official high school, college or trade school transcripts.
·
Exam scores of the SAT or ACT, if exam was taken.
·
School activities, honors, awards and community projects participation.
·
Letters of recommendation.
When completed, please mail this application and all attachments to:
International Brotherhood of Electrical Workers,
Local 1547
Attn: Unit 101 Committee
3333
Denali St., Suite 200
Anchorage, AK 99508
This form and other supporting papers must be received before the
MARCH 31, 2009 deadline.
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