IBEW Local Union 617 Scholarship Application
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Phone Number
Age
Name of College or University
Current GPA (if applicable)
Reason for selecting this institution:
How you are associated with the electrical construction industry
Name of member who referred you/ that you know in the electrical construction industry
First Name
Last Name
Name of High School (if attending)
High School GPA
SAT Score
I certify that the foregoing statements are true to the best of my knowledge and belief.
**Please attach a copy of your acceptance letter or proof of enrollment**
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Please attach a short statement about yourself, your goals and what you hope to contribute to society.
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