Laborers' International Union of North America, Local 348 Scholarship Program 2017

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Laborers' International Union of North America, Local 348 Scholarship Program 2017 PURPOSE OF THE FUND: A scholarship program for members of the Laborers' International Union of North America, Local 348. Laborers' Local 348 has funded this scholarship program. Established in 2013, Scholarships will be awarded annually to assist eligible students in furthering their education. Scholarships will usually be awarded before June graduation exercises. ELIGIBILITY REQUIREMENTS: Those eligible are individuals who are currently members of Laborers' Local 348 that have maintained membership in any Local of the Laborers' International Union of North America for the preceding two (2) years and their defined dependents*. To be considered, a student must be in good standing in the final year of high school or attending a trade program, college or university on a full time basis. APPLICATION PROCEDURES: The exact nature and content of the scholarship program will be determined on an annual basis by the Laborers' Local 348 Executive Board. Whereas these scholarships are for the members of Laborers' Local 348 or their dependents, announcements will be made on the Laborers' Local 348 Web Site, www.local348.com, as well as at the Laborers' Local 348 monthly union meeting. The announcements will explain the present annual program available and any specifics involved in applying. There shall be no discrimination based on race, color, creed, national origin, age, or gender in the selection process or the administration of the scholarship program. The following general scholarship criteria will be considered in making the selections: Academic attainments (test scores, grade point average, class ranking) Character Need Anticipated field of study Extra-curricular accomplishments Other (as may seem applicable to the scholarship program in question) *Definition of dependent: spouse, child(ren), grandchild(ren), step-child(ren), step-grandchildren) and legal dependent. Additionally, the spouse, child(ren), grandchild(ren), step-child(ren), step-grandchildren) and legal dependent of a deceased member who was vested in the Laborers' Pension Trust at the time of his/her death.

Laborers' International Union of North America, Local 348 SCHOLARSHIP APPLICATION PLEASE NOTE: (1) Only COMPLETE and ORIGINAL applications will be considered. (2) Proof of enrollment will be required BEFORE any scholarship check will be issued. COMPLETE APPLICATIONS MUST BE RECEIVED BY 4:30 PM APRIL 3 rd 2505 Duportail St. P.O. Box 1349 Richland, WA 99352 (509) 420-4581 STUDENT NAME HOME STREET ADDRESS MAILING ADDRESS (if different) CITY, STATE, ZIP CODE TELEPHONE No. (including area code) DATE OF BIRTH NAME OF UNION MEMBER RELATIONSHIP TO YOU FOR OFFICE USE ONLY Name of Member: Entry Date: International Membership Number: Date Verified: by: 1

EDUCATIONAL INFORMATION The following information MUST accompany your application HIGH SCHOOL INFORMATION Name of High School which you attend: Address of High School: Telephone No. (including area code): Date graduated or will graduate: Are you enrolled in a Running Start Program? YES NO If yes, name of College or University: Will you receive an Associates of Art Degree? YES NO COLLEGE OR UNIVERSITY INFORMATION What College or University do you plan to attend? Address of College/University: Telephone No. (including area code): Are you currently attending this College or University? YES NO If yes, when did you first attend? Have you been accepted as a full-time student? YES NO If no, when do you expect to know? Is this a two (2) or (4) year institution? yrs. Anticipated field of study: Major: Minor: NOTE: Proof of enrollment (official registration with a college, university or trade school) will be required before any scholarship check will be issued. 2

TEST SCORES AND GRADE POINT AVERAGE The following information MUST be furnished under seal by your Counselor: If you are in High School: Current, official transcript (all seven semesters must be represented). If you are homeschooled, a copy of your most recent standardized test results. Your SAT or ACT Test Results Certified evidence of your GPA and Class Ranking If you are in College: If you are currently attending a college or university, your most current, official transcript as well as your current GPA. NOTE: To qualify for this scholarship, an applicant must be enrolled for at least: 12 credits for non-working members or defined dependents; or 6 credits for applicants working at the calling or in a work study program. Applicants with fewer than the minimum required credits may receive a waiver in this qualification by the Laborers' Local 348 Executive Board. OFFICES AND POSITIONS OF LEADERSHIP List all of the offices and/or positions of leadership which you have held or currently hold. 3

SCHOOL OR COMMUNITY ACTIVITIES Please provide a summarized description of any extracurricular activities which you have been involved with, your responsibilities, as well as the duration of your participation. HONORS AND AWARDS Please list all honors and/or awards which you have received: 4

EMPLOYMENT HISTORY: (Start with Present Date) APPLICANT'S ESSAY Please provide an essay (maximum of 300 words) outlining why you wish to attend college and what you see yourself doing with your life ten (10) years after graduation. LETTERS OF RECOMMENDATION Please provide at least three letters of recommendation. At least one letter must be from your high school counselor, employer or a teacher/professor. The other two letters can be written by any non-related adult. All letters must be signed by the author. 5

SCHOLARSHIP INFORMATION Please list all of the scholarships you will be receiving during this academic year, the amount of the scholarship and the number of years the award is intended. Name of Sponsor Number Amount Year which of Years of Award Award Covers for Award Please list all of the scholarships for which you have applied: Name of Sponsor Amount of Award IMPORTANT: If you are notified by this Fund that you are a successful candidate, you must advise the Laborers' Local 348 Executive Board of any scholarships or subsequent awards made to you. Failure to notify the Board may result in the forfeiture of all or part of your scholarship. INDIVIDUALS MAY RECEIVE SCHOLARSHIPS FROM OTHER SOURCES UP TO $20,000 WITHOUT AFFECTING THIS AWARD. 6

CERTIFICATION AND RELEASE AUTHORIZATION I certify that the information contained in this application is true, complete and accurate. I authorize release of any of this information to confirm and/or verify this application. (Applicant's Signature) (Date) COMPLETE APPLICATIONS MUST BE RECEIVED BY 4:30 PM APRIL 3 rd 2505 Duportail St. P.O. Box 1349 Richland, WA 99352 (509) 420-4581 The Laborers' Local 348 Executive Board, in its sole discretion, reserves the right to withdraw or terminate any scholarship in the event of changed circumstances. 7