W. VERNIE REED MEMORIAL FUND College Scholarship Application

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Lynne Hunter
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1 W. VERNIE REED MEMORIAL FUND College Scholarship Application PURPOSE OF THE FUND: A scholarship program for certain members of the Laborers' International Union has been established as a living memorial to the late W. Vernie Reed, General Secretary-Treasurer of the International Union. Through the generosity of Brother Reed's friends and associates, a self perpetuating fund will provide a program of yearly scholarships to assist eligible worthy students in furthering their four (4) year undergraduate education. The first award was made in the Spring of Scholarships are usually awarded before July. ELIGIBILITY REQUIREMENTS: Those eligible are men and women and their dependents who are members of local unions of the Laborers! International Union of North America, located in the states of Alaska, Washington, Idaho, Montana, Oregon, Wyoming, Colorado, Nevada and Utah in the United States of America, and in the provinces of British Columbia, Alberta and Saskatchewan in Canada. To be considered, a student must be in good standing in the final year of high school or the first and second year of college. APPLICATION PROCEDURES: The exact nature and content of the scholarship program will be determined on an annual basis by the Board of Directors. Whereas these scholarships are for the members of the Laborers International Union or their dependents, announcements will be made in the "Laborer", a publication, as well as to all Laborers' Local Unions throughout the region. The announcements will explain the present annual program available and any specifics involved in applying. There shall be no discrimination based on race, color, creed, national origin, age, or sex in the selection process or the administration of the scholarship program. The following general scholarship criteria will be considered in making the selections: W. Academic attainments (test scores, grade point average, class ranking) X. Character Y. Need Z. Anticipated field of study AA. Extra curricular accomplishments BB. Other (as may seem applicable to the scholarship program in question) FOR MORE INFORMATION CONTACT: W. Verne Reed Memorial Fund th Street S.E. Suite #101 Mill Creek, Washington (425)

2 W. VERNIE REED MEMORIAL COLLEGE SCHOLARSHIP APPLICATION Date Sent: Applications must be received by April 1 st th Street S.E. Suite #101 Mill Creek, Washington NAME HOME STREET ADDRESS _ CITY, STATE, ZIP CODE OR POSTAL CODE AREA CODE AND TELEPHONE ( ) SOCIAL SECURITY NUMBER DATE OF BIRTH NAME OF UNION MEMBER RELATIONSHIP TO YOU LOCAL UNION # EDUCATIONAL BACKGROUND (Include High School, or its equivalent, College, Apprenticeship Training, etc.)

3 TEST SCORES AND GRADE POINT AVERAGE HIGH SCHOOL APPLICANTS ONLY FOR UNITED STATES APPLICANTS ONLY: College Entrance Exwnination Board-Scholastic Aptitude Test. S.A.T. Scores: Verbal Math American College Testing - A.C.T. Test Score: Composition Score Cumulative Grade Point Average (4.00) Grade FOR CANADIAN APPLICANTS ONLY: Canadian Test: Composite Cumulative Grade Point Average (Canadian Scale) Grade FOR ALL APPLICANTS: Class Ranking: Other Pre-College Test Scores: Verbal Quantitative Signed Date Title COLLEGES OR UNIVERSITIES YOU ANTICIPATE ATTENDING: ANTICIPATED FIELD OF STUDY: COLLEGE STUDENT APPLICANTS ONLY If you are already in the first or second year of college: Attach certified grades with accumulated grade point average or have the college registrar complete and sign has an accumulative grade point average of (Name of Student) for credits

4 Signed Title Date SCHOOL OR COMMUNITY ACTIVITIES: HONORS AND AWARDS: OFFICES AND POSITIONS OF LEADERSHIP: EMPLOYMENT HISTORY (Start with Present Date) Required Additional Information 1. Applicant's Statement - Limit 300 Words 2. Letters of Recommendation - Limit 3 Letters

5 PLEASE LIST ALL SCHOLARSHIPS WHICH YOU HAVE RECEIVED: Year Number Amount in which of Years Name of Sponsor of Award Award Covers Award is For _ PLEASE LIST ALL SCHOLARSHIPS FOR WHICH YOU HAVE APPLIED COVERING THE ENSUING ACADEMIC YEAR: Amount Name of Sponsor of Award IMPORTANT: If you are notified by this Fund that you are a successful candidate, you must advise the Board of any scholarships or subsequent awards made to you. Failure to so notify the Board may result in the forfeiture of all or part of your scholarship. INDIVIDUALS MAY RECEIVE SCHOLARSHIPS FROM OTHER SOURCES UP TO THE AMOUNT OF $5,000 WITHOUT AFFECTING THIS AWARD.

6 LOCAL UNION INFORMATION The following information is to be furnished by a local union officer: Name of Member Entry Date International Membership Number I certify that this membership information is true, complete and accurate. (Signature of Officer) (Title) (Date) (Print Name) CERTIFICATION AND RELEASE AUTHORIZATION I certify that the information contained in this application is true, complete and accurate. I authorize release of any of this information to confirm and/or verify this application. (Applicant's Signature) (Date) APPLICATIONS MUST BE RECEIVED BY APRIL 1ST th Street S.E. Suite #101 Mill Creek, Washington (425) The Board of Directors, in its sole discretion, reserves the right to withdraw or terminate any scholarship in the event of changed circumstances.

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