Nellie Stone Johnson Scholarship
Please complete the form below to apply.
Full Name
*
First Name
Middle Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
School Attending
*
Major and Minor
*
Please select the proper boxes
*
Undergraduate
Graduate
Full time
Part time
Expected graduation Date
*
Ethnicity or Race
*
Hispanic or Latino
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian other Pacific Islander
Other
Union Member: First and Last Name and Phone number
*
Relation to Union Member
*
Please Select
The Member
Spouse
Dependent
Grandchild
Name of Union/Local
*
Financial Information: List all scholarships, awards , grants of other sources of financial aid for the upcoming year. Include organization and amount
*
Applicant must include copy of current union card or letter from union verifying membership or retirement in good standing
*
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2 letters of recommendation
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Most recent Transcript
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Essay
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