2013 Texas AFL-CIO Scholarship Program Application

2013 TEXAS AFL-CIO SCHOLARSHIP PROGRAM

WHO MAY APPLY: Members or children of members of local unions or children whose legal guardians are members of local unions that are affiliated with the Texas AFL-CIO and the local Central Labor Council. Applicants must be high school seniors who are planning to attend a university, college or technical institute in the summer or fall term.

Application forms are available from your Central Labor Council or the Texas AFL-CIO Education Department  -   P. O. Box 12727, Austin, Texas 78711.  THE POSTMARK DEADLINE FOR APPLYING IS THURSDAY, JANUARY 31, 2013.

TO INSURE PROPER PROCESSING: Please be sure to list the Central Labor Council with which your parent’s or legal guardian’s local union is affiliated. Make sure the application is signed by a union officer and at least one parent or legal guardian. Include an official school transcript and if applicable, proof of legal guardianship. If you are unsure that your local union is affiliated with your local Central Labor Council, please contact one of your local union officers. PLEASE MAIL APPLICATIONS TO: TEXAS AFL-CIO EDUCATION DEPARTMENT - P. O. BOX 12727, AUSTIN, TEXAS 78711. Incomplete applications will be returned to the student .

A packet of material on organized labor will be sent to each applicant to prepare for a test about unions. If you do not receive your packet, please contact your central labor council, a local union officer, or the Texas AFL-CIO.

SELECTION PROCESS: Each Central Labor Council will arrange all interviews and tests for applicants no later than April 2, 2013. Please contact your Central Labor Council if you have not received notice of an interview by April 4, 2013. YOU MUST BE TESTED AND INTERVIEWED IN THE CENTRAL LABOR COUNCIL DISTRICT IN WHICH YOUR LOCAL UNION IS AFFILIATED.

After interviews and tests are conducted, each local Central Labor Council will select semi-finalists from among their applicants. Applicant’s financial need, academic achievements, extra curricular activities, and his/her understanding of the labor movement as demonstrated by the test scores and interviews will be considered.

The statewide Scholarship Committee of the Texas AFL-CIO will select winners from among the semi-finalists. The results will be mailed to all applicants. High schools principals will receive notice of winning applicants whose name will be announced in the Texas AFL-CIO Labor News.

If you are awarded a scholarship, please contact the Texas AFL-CIO Education Department in writing or via email to ed@texasaflcio.org, and give us the name and address of the university, college or technical institute you plan to attend. The scholarship will be paid directly to the school of your choice upon acceptance.

For further information, contact your local union officer, Central Labor Council or Edward Sills, Texas AFL-CIO Education Department, at (512) 477-6195 or ed@texasaflcio.org.

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2013 TEXAS AFL-CIO
SCHOLARSHIP APPLICATION
(FOR HIGH SCHOOL SENIORS ONLY)
* * * * * * * * * * * * * * * * * * * * * * * * * * *
This form must be completely filled out and
signed by applicant and Union Officer, a parent or
legal guardian. You must attach a copy of your high
school transcript and a photograph (head shot) for
processing. Incomplete applications
will be returned!
* * * * * * * * * * * * * * * * * * * * * * * * * * *

PERSONAL DATA

APPLICANT’S NAME: ______________________________________________________SEX: ____ M ____ F

HOME ADDRESS: __________________________________ _______________ CITY: ________ ZIP:_______

E-MAIL, IF AVAILABLE: _____________________________ SS#: ___________________________________

PHONE: _____________________________________________________________________________________

MOTHER OR LEGAL GUARDIAN’S NAME: ___________________ OCCUPATION: ____________________

HOME ADDRESS________________________________ CITY: _________________________ ZIP:_________

FATHER OR LEGAL GUARDIAN’S NAME: ______________________ OCCUPATION: _____________________

HOME ADDRESS: _____________________________________CITY: ___________________ ZIP: ________

ACADEMIC DATA

HIGH SCHOOL: ___________________________________ PRINCIPAL: ____________________________

MAILING ADDRESS: ____________________________________________ CITY: _________ ZIP: _______

GRADE POINT AVERAGE: __________________________________________________________________

IN WHAT EXTRA CURRICULAR ACTIVITIES DO YOU PARTICIPATE? __________________________________________________________________________________________

ARE YOU REGISTERED TO VOTE? ____________________________________COUNTY: ____________

VOTER REGISTRATION NUMBER: __________________________________________________________

WHAT COLLEGE DO YOU HOPE TO ATTEND?________________________________________________

DESCRIBE ANY SPECIAL CIRCUMSTANCES (HARDSHIPS) CREATED BY HEALTH PROBLEM, STRIKE, LAY-OFFS, ETC.
____________________________________________________________________________________________

LIST ANY SCHOLARSHIPS YOU HAVE APPLIED FOR AND/OR RECEIVED __________________________

_____________________________________________________________________________________________

______________________________________________ __________________________________________
PARENT’S OR LEGAL GUARDIAN’S SIGNATURE APPLICANT’S SIGNATURE

AFFILIATION

ARE YOU A UNION MEMBER? _________ YES __________ NO

IF YES, GIVE FULL NAME OF LOCAL UNION AND NUMBER: ____________________________________

____________________________________________________________________________________________

IS MOTHER OR LEGAL GUARDIAN A UNION MEMBER? _______ YES ______ NO

IF YES, GIVE FULL NAME OF LOCAL UNION AND NUMBER: ___________________________________

___________________________________________________________________________________________

IS FATHER OR LEGAL GUARDIAN A UNION MEMBER? _____ YES _____ NO

IF YES, GIVE FULL NAME OF LOCAL UNION AND NUMBER: ____________________________________

____________________________________________________________________________________________

GIVE FULL NAME OF CENTRAL LABOR COUNCIL HIS/HER UNION IS AFFILIATED: ________________

(NAME) ________________________________________(OFFICER) __________________________________

(THE PART BELOW MUST BE COMPLETED BY LOCAL UNION PRESIDENT OR SECRETARY-TREASURER – NO EXCEPTIONS!!!):

I certify that ____________________________________________ is a member in good standing with

Local number ____________________________________ of ___________________________________ union

located ________________________________________________.______________Our Central Labor Council
Address City Zip

Affiliation is with_________________________________________________________________________CLC.

___________________________________ ___________________________________
Name of Union Officer                                          Position Held

__________________________________ __________________________________
Signature of Union Officer                                  Date

THIS APPLICATION MUST BE POSTMARKED NO LATER THAN THURSDAY JANUARY 31, 2013.

MAIL APPLICATION TO: TEXAS AFL-CIO EDUCATION DEPARTMENT
P. O. BOX 12727, AUSTIN, TEXAS 78711

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