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The Union Difference
Your Rights
Get Educated
Strikes
What Unions Have Done For You
Organize
Do Not Patronize
Shop Union, Buy Union
About UFCW
Leadership
Union Representatives
Your History
Frequently Asked Questions
Who We Represent
Stores and Companies
New Members
Member Spotlight
Member Spotlight Recommendation Form
For Members
Union Benefits
Pay Dues
Contracts
Contact Information
Directory
Events
FAQ
Member Login
Media Center
Blog
Newspaper
Videos
Photo Galleries
Community Service & Fundraising
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Home
›
Scholarships
›
Request Online UFCW 1500 Scholarship Form
Request Online UFCW 1500 Scholarship Form
Name
(Required)
First
Last
Phone Number
(Required)
Email Address
(Required)
UFCW Member ID #
(Required)
Last 4 digits of SSN
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Are you currently a UFCW Local 1500 Member?
(Required)
Yes
No
What company and store do you work for?
Company Name
(Required)
Store #
(Required)
Are You Full Time or Part-Time ?
(Required)
Full-Time
Part-Time
Are you applying for yourself or for a dependent?
(Required)
Applying for myself
Applying for a dependent
If you are a member and you are a high school senior or a college student with at least two semesters left to complete your degree, you may apply for a scholarship on your own behalf.
If you are applying for yourself:
Are you a:
(Required)
High School Student
College Student
Trade School Student
If you are a college student, do you have a minimum of two semesters left to complete?
No
Yes
In two or three sentences, please share how Local 1500 has helped you and your family:
(Required)
If you are applying for a dependent:
Is your dependent a high school senior?
(Required)
No
Yes
The only dependents who are eligible for scholarship are high school seniors. Dependents who will be college students in the fall are not eligible.
Information About High School Senior
Name
(Required)
First
Last
Phone Number
(Required)
Email Address:
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Describe your dependent’s relationship to you:
(Required)
Expected High School Graduation Date:
(Required)
