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OUTreach Scholarship Recommendation Form
This form is to be completed by an Officer of the Local Union.
Email address *
Member's full name *
Your answer
Union Local Officer's Full Name *
Your answer
Union Local Officer's Position *
Your answer
Is your Local currently an OUTreach sponsor? *
Will this member be taking vacation from work or receive lost time? *
Your answer
Why do you recommend this member to attend the Creating Change Conference with UFCW OUTreach? *
Your answer
A copy of your responses will be emailed to the address you provided.
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