Scholarship Application
Application Completed by *
If you’re the applicant and not a member, please make sure to collect all information below from the member before proceeding.
I have actively (check all that apply to the MEMBER) *
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Please further describe, in as much detail as possible, your participation in the areas you checked above. Applications without response here will not be considered.
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MEMBER INFORMATION
Member Name *
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Member Email
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Member Primary Phone *
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Address *
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City *
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State *
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Zip Code *
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Membership Since (Date) *
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Job Title *
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Employer and Department/Work Site *
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APPLICANT INFORMATION
Applicant Name *
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Applicant Email *
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Applicant Primary Phone *
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High School/ GED *
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City/State *
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Year Graduated *
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Degree *
Please confirm the documents below was mailed, emailed to myunion@seiu888.org or faxed to (617) 241-3303
Certify Application Information *
I certify to the best of my knowledge, that the information on this application is complete and accurate. Falsification of any information will cause my disqualification from the scholarship competition. I understand it is my responsibility to make sure the application process is complete by the required deadline. If not, the application will be disqualified from the awards competition and not be considered for the award. This application, upon receipt, becomes property of SEIU Local 888. I agree that, if selected as an award winner for the SEIU Local 888 Scholarship program, SEIU Local 888 or its agents may use my name and likeness and any other information or materials provided in connection with this program for the purposes of news, publicity and advertising in all media including but not limited to print, electronic media, press releases, internet websites and video media. If you are under 18, your parent or guardian must also agree to these terms and conditions. I have read and agree to the terms and conditions for submitting this application.
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