Local 528 – Council 94 – AFSCME

Roosevelt Hall Kingston, R.I. 02881

mmcdonalduri@gmail.com – Phone: 401-874-2100 Fax: 874-2538

URI
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Local 528 Scholarship Application print out form

LOCAL 528 SCHOLARSHIP APPLICATION

Print name of member _________________________________________

Work Location _______________________________________________

Please read and sign the following statement:

I am applying for the Local 528 Scholarship for

Myself_________  My Spouse__________  My Child____________

Print Scholarships Applicants Name _________________________________

To be used toward education expenses at ______________________________

Bursars Office Verification _________________________________________

During the 2014 – 2015 academic year

Freshman____  Sophomore ____ Junior ____Senior____H/S Senior____

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