SMART TD AUXILIARY
Home
Scholarship
Scholarship Application
Contact
Documents
Forms & Flyers
Newsletter
Treasurers Tools
Auxiliary of the United Transportation Union
Scholarship Fund Application
For acceptance of application
ALL
requested information must be provided
*
Indicates required field
Name of Auxiliary Member
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Applicant is:
*
Child
Stepchild
Grandchild
Step-Grandchild
Email
*
NAME OF STUDENT'S PARENTS
*
Complete Address of Parents
*
Line 1
Line 2
City
State
Zip Code
Country
Parent's Phone Number
*
Parent's Email
*
Name of Student
*
First
Last
Date of Birth
*
Gender
*
Male
Female
Complete Address of Student
*
Line 1
Line 2
City
State
Zip Code
Country
Student's Phone Number
*
Student's Email
*
SUMMER CONTACT
*
Summer Contact Information: Phone Number
*
Summer Email
*
College Name
*
Financial Aid Office Address
*
Line 1
Line 2
City
State
Zip Code
Country
Financial Aid Phone Number
*
Major Course of Study
*
Degree Program
*
College Years In
*
1st Year
2nd Year
3rd Year
4th Year
Graduate
Name and Authorization of Member
*
Name and Authorization of Student
*
THIS APPLICATION IS NULL AND VOID IF GRAND LODGE ASSESSMENTS AND DUES ARE UNPAID.
APPLICATIONS
MUST
BE SUBMITTED BY MARCH 31st, 2021.
After the drawing, only the Scholarship winners will be notified.
Note: In the event no funding is available, the Scholarship may be discontinued at any time.
Submit
Home
Scholarship
Scholarship Application
Contact
Documents
Forms & Flyers
Newsletter
Treasurers Tools