INDIANAPOLIS AREA LOCAL AMERICAN POSTAL WORKERS UNION AFL-CIO
APPLICATION FOR
THE MARY HELEN STEWART-BOHANNON
MEMORIAL SCHOLARSHIP
st
st
Applications will be accepted and must be postmarked January 1
through March 1
of the year for which the scholarship is awarded.
Applicant Information:
Name (print or type)_____________________________________________________ SSN ____________________________
Address________________________________________________________________________________________________
(number or street)
(city)
(state)
(zip)
Telephone #____________________________________Relationship to IALAPWU Member___________________________
* I have applied for acceptance or I am currently enrolled in a undergraduate program at (School)_________________________
___________________________________in (City)___________________________________(State)_________________
* If applying at more than one (1) school, it is only necessary to list one. Name of school accepted/enrolled must be provided at a later date to maintain eligibility.
APWU Union Member Information:
Parent/Guardian Name_____________________________________________________Home Phone_____________________
SSN__________________________Craft____________________P/L_______________Work Phone_____________________
Address________________________________________________________________________________________________
(number or street)
(city)
(state)
(zip)
I, the applicant, by signing below states I have applied for acceptance or I am enrolled in an undergraduate program in a college or vocational institution for the full
year in which the scholarship is being awarded and that a parent or legal guardian or grandparent is a member in good standing of the Indianapolis Area Local APWU.
I, the applicant, agree that should I become a successful candidate for the IALAPWU Scholarship, I shall comply with all the rules and regulations set down by the
committee for such scholarship. In the event I successfully compete for the IALAPWU Scholarship, I hereby give permission to the IALAPWU to publish my name,
photograph and the essay.
___________________________________________________________________________________
______________________________________
(Signature of Applicant)
(Date)
___________________________________________________________________________________
______________________________________
(Parent/Guardian Signature – Member APWU)
(Date)
MAIL COMPLETED APPLICATION AND ESSAY TO:
Indianapolis Area Local APWU
Scholarship Committee
1509 Prospect Street
Application/essay must be mailed and postmarked
Indianapolis IN 46203
st
st
January 1
through March 1
OFFICIAL USE ONLY:
This is to certify that_________________________________________________________is a member in good standing of the
Indianapolis Area Local APWU. President or Secretary/Treasurer Signature:_________________________________________