Scholarship Application Request - UFCW 770

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Scholarships are open to active members affiliated with Local 770 in good standing from September 2018 through September 2019, their spouses, parents and children. Request for an application package must be received in the Union’s office by April 1, 2019. Completed application packages must be received by April 30, 2019.

To apply for a scholarship, please use the application request form below:

Applicant's Full Name*
First Last
Last Four Digits of Applicant’s Social Security #
School Attending in the Fall
Cell Phone*
Home Phone
Email*
Relationship to Member (son, daughter, parent, spouse)*
Member Full Name*
First Last
Last Four Digits of Member Social Security #
Member Employer*
Student Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I am a member/dependent of UFCW Local 770 in good standing. In order to be eligible for a scholarship, I will remain in good standing from September 2019 through September 2020 and in the Fall will be enrolled as a full-time student (Undergraduate: 12 units or more; Graduate: 6 units or more), in a degree program at any accredited college or university.*
Signature Required
Scholarship of Interest
- I am interested in the Local 770/DHA Scholarship
- I am interested in the Joseph T. DeSilva scholarship (USC Students Only)

Applicant's Full Name*
First Last
Last Four Digits of Applicant’s Social Security #
School Attending in the Fall
Cell Phone*
Home Phone
Email*
Relationship to Member (son, daughter, parent, spouse)*
Member Full Name*
First Last
Last Four Digits of Member Social Security #
Member Employer*
Student Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I am a member/dependent of UFCW Local 770 in good standing. In order to be eligible for a scholarship, I will remain in good standing from September 2019 through September 2020 and in the Fall will be enrolled as a full-time student (Undergraduate: 12 units or more; Graduate: 6 units or more), in a degree program at any accredited college or university.*
Signature Required
Scholarship of Interest
- I am interested in the Local 770/DHA Scholarship
- I am interested in the Joseph T. DeSilva scholarship (USC Students Only)

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