American
Federation of State, County, and Municipal Employees, AFL-CIO
SCHOLARSHIP PROGRAM APPLICATION
The AFSCME Local 1703 Scholarship Program awards four scholarships of $1,500 each, annually, to the children of active Local 1703 members.
Any graduating high school senior who is the son or daughter of an active Local 1703 member, and who intends to enroll in a full-time degree program at an accredited university, college, community college, trade or technical school is eligible to apply.
The winners will be selected from the applicants who meet the eligibility requirements and will be notified before July 1st. The scholarships must be used in the year they are awarded.
1. Please type or print.
2. Complete APPLICANT’S section.
3. Have your parent complete PARENT’S section.
4. Submit the result of either the Scholastic Aptitude Tests (SAT) or the American College Tests (ACT).
5. Include an official copy of your high school transcript.
6. You may include letters of recommendation or other evidence of your character or abilities.
7. Mail your completed application, with all supporting documentation to the following address:
AFSCME Local 1703
Scholarship Committee
P.O. Box 855
Burlington, MA 01803-5855
8.
Your completed application must be mailed and POSTMARKED NO LATER THAN APRIL 30.
American
Federation of State, County, and Municipal Employees, AFL-CIO
APPLICANT’S SECTION
NAME ___________________________________________________________
Address _________________________________________________________
City State Zip
Date of Birth ______________________________________________________
Graduation Date ___________________________________________________
Name and location of school you plan to attend:
List all extra-curricular activities, both in and out of school:
List any academic awards and/or honors received:
Work Experience:
American
Federation of State, County, and Municipal Employees, AFL-CIO
PARENT’S SECTION
NAME ___________________________________________________________
Address _________________________________________________________
City State Zip
Work Location:
____________________________________________________________
____________________________________________________________
____________________________________________________________