UFCW Local 1473

To be eligible to compete in Local 1473's 2010 scholarship awards competition, each applicant must be a member, or child or spouse of a member of the Union, in good standing in accordance with the provisions of Local 1473 and UFCW bylaws. This means that the member must be in continuous good standing for one year, an active member at the time of the drawing, with all dues fully paid as of March 31, 2010.

All applicants must plan to attend college on a full-time basis. In addition, applicants who are presently attending college and will not have completed more than three years of college as of June, 2010, may compete in this program.

Eligible applicants compete for one of 14 awards. The Peter P. Voeller Scholarship is a one-time grant of $2,500, paid directly to the school upon submission of proof of acceptance to an accredited college or university. Applicants will be screened on the basis of academic achievement, leadership, social awareness, career goals and financial need.

One $2,500 award will be made to a male and one $2,500 award will be made to a female. Twelve additional area awards of $500 each will be awarded. These one-time grants will be paid directly to the school upon submission of proof of acceptance to an accredited college or university. The Scholarship Selection Committee will conduct a lottery drawing to determine each area winner. Four awards will be given to applicants from the Milwaukee area (Milwaukee, Waukesha, Ozaukee and Washington counties), three awards will be given to applicants from the Racine, Kenosha and Walworth county area, and five awards will be given to applicants living in any other county.

All applicants are eligible for the Peter P. Voeller Scholarship or any "area" award, but not both. Former scholarship award winners are not eligible to win additional scholarships.

To enter the Local 1473 competition, the eligible member or dependent of a member should fill out the preliminary application on this page and mail it as soon as possible to the Local 1473 Scholarship Selections Committee. He or she will then receive a long-form application by mail to enter the competition for the Peter P. Voeller Scholarship. If you are applying for one of the area awards only, please mark the appropriate box on the short-form application. A long form application will not have to be completed.

Applicants presently attending college who will not have completed more than three full years of college work MUST furnish the Scholarship Selections Committee with official transcripts of both their entire high school work AND their college work.

No application will be considered unless it is filled out completely in every detail.

The final selection of scholarship winners is in the hands of a Scholarship Selection Committee who serve as impartial judges and whose decisions are final and binding.

In order to receive a scholarship award, each winner must also provide the Scholarship Selections Committee with official certification of acceptance to school and enrollment or attendance at an accredited institution of higher learning. Local 1473 will forward the award to the institution once the verification has been received by the Union.

Applications for the 2010 scholarship awards should be sent in as soon as possible and all necessary documents requested from applicants by the Committee must be in the hands of the Committee no later than midnight, March 15, 2010.

SCHOLARSHIP AWARDS

(SHORT-FORM APPLICATION)

I wish to apply for a 2010 Local 1473 Scholarship Award. I understand that the decision of the Local 1473 Scholarship Awards Committee will be final, and I agree to abide by their decision.

- PLEASE PRINT -

Name ....................................................................................

(Last) (Middle) (First)

Signature ...............................................................................

(First) (Last)

Home Address .......................................................................

City and State ........................................................................

Zip Code ............... Telephone .................................................

Social Security No ..................../..................../........................

¨ I am applying only for the area awards.

I am a Local 1473 member (check one):

__ Yes __ No

I am employed by ....................................................................

(Employer Name)

Employer Address ...................................................................

I am related to a Local 1473 member (check one): (must be mother, father or spouse)

__ Yes __ No

Member's Name ......................................................................

Member's Address ...................................................................

City and State ............................................... Zip ...................

Name of Employer Member Works for ....................................

Employer Address ....................................................................

Member's Social Security # ..................../.............../................

My relationship to the Member is ............................................

(Son, Daughter or Spouse)

I will graduate from High School (check one):

__ February, 2010 __ June, 2010 __ August, 2010

If you are a College Student, indicate highest academic level you will complete by August, 2010.

__ Freshman __ Sophomore __ Junior

(This form should be filled out completely and returned immediately to the Local 1473 Scholarship Selections Committee, 2001 N. Mayfair Road, Milwaukee, WI 53226.