CWA Local 4671 Scholarship Drawing 2023

Who is eligible:
Children of dues paying CWA Local 4671 members,
CWA Local 4671 dues paying members and spouses of CWA Local 4671 dues paying members.
Children of dues paying members must be graduating high school seniors (winter or spring)
or a currently enrolled post high school student.

Additional criteria:
Student must be planning to attend or is currently attending a post high school accredited college, university, trade or technical school.

Selection process:
A simple random lottery style drawing will be held after August 15, 2023 conducted by the Local’s Scholarship Committee.
No one individual may receive the scholarship more than once.

The form below must be received by the Committee no later than Aug 13, 2023. 
Please submit only one request per student. Send your applications to: Secretary Jane Vander Kooy W5731 Island Dr. Pardeeville WI 53954
Name of Student/Member/Spouse____________________________________________________ 
Male Female (circle one)

Name of High School & City (if graduating senior)________________________________________
Parent/spouse name and address_________________________________________ 

Parent/spouse employer and work location/job title________________________________________
Phone Number(s)__________________________________________________________________
School you are planning to attend_____________________________________________________

Student signature/Parent signature