PRINT THESE SERIES OF FORMS AND FORWARD THEM ALONG WITH A COPY OF YOUR GRADES TO UFCW LOCAL 1459 AT THE ADDRESS BELOW BEFORE MAY 1st
Note: Previous scholarship winners are not eligible to apply
UFCW Local 1459 Scholarship Application
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Applicant's Name (Please Print)
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Street Address
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City, State, Zip Code
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Telephone Number
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Date of Birth
Check One:
( ) I am ( ) My father is ( ) My mother is
a member of UFCW Local 1459 employed by:
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Name of Employer
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Employer's Address
I graduated or will graduate from:
Name of High School ______________________________________
Graduation Date __________________________________________
Member Information:
Member's Name __________________________________________
Member's Social Security Number __________________________
Your School of Choice __________________________________________
Career Plans ______________________________________________________________
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Exam Question: How has the fact that you or your parents have worked with a UFCW Local 1459 Contract benefited you or your family?
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FORWARD THIS FORM TO UFCW LOCAL 1459 AT:
UNITED FOOD AND COMMERCIAL WORKERS
LOCAL 1459, AFL-CIO
33 EASTLAND STREET
SPRINGFIELD, MASSACHUSETTS 01109