2012 Scholarship Award Application

Mail with essay and two letters of reference by March 31, 2012 to:

Carpenters Local Union 214
Attn. Scholarship Committee
1718 Heilmandale Rd., Suite 200 • Lebanon, PA 17046

 

Name: _______________________________________________________________________________
      First                        Middle Initial                Last

Address: ____________________________________________________________________________

Home Phone: __________________________________________

Social Security No. __________________________________

Level Of Education: _________________________________________________________________

Possible Majors: ____________________________________________________________________

Intended Institution: _______________________________________________________________

Length Of Program: __________________________________________________________________

Parent's/Guardian's Name(s): ________________________________________________________

Parent's/Guardian's Daytime Phone Number(s): ________________________________________

School Activities: __________________________________________________________________

_____________________________________________________________________________________

Community/Outside School Activities: ________________________________________________

_____________________________________________________________________________________

Work Experience: ____________________________________________________________________

_____________________________________________________________________________________

Awards: _____________________________________________________________________________

_____________________________________________________________________________________

Future Goals And Plans: _____________________________________________________________

_____________________________________________________________________________________

Explain Why You Should Be Selected For This Award: __________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

This application may be duplicated • Attach additional pages as necessary

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