Local Union Scholarship

EDUCATIONAL SCHOLARSHIP FUND
Application Form

Number Member Applicant's

Who is Eligible: CLA Members’ son or daughter who is currently a High School Senior

Where to be used: to be used by a student for the first year at any accredited

4 year College Trade School

2 Year College Business School

Vocational Tech

Applicant's First Name *

Applicant's Last Name *

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Members Union *

Member's Name (First & Last) *

Members Local Number *

Member's Address:

Address Line 1

Address Line 2

City

State

Zip Code

Relationship to Member *

High School Attended *

Year of Graduation *

College or School You Plan on Attending *