NATIONAL UNION OF PUBLIC AND GENERAL EMPLOYEES SCHOLARSHIP FOR VISIBLE MINORITIES 2015 APPLICATION FORM Applicant’s name: Ms OR Mr ______________________________________________ Home address: ________________________________________________________________________________ (Include street, city, province, postal code) Telephone No: ______________________________ E-mail: ____________________________________________ Are you, because of race or colour, a visible minority in Canada? YES NO In order to be eligible, one of your parents / grandparents must belong to or retired from one of the National Union Components or affiliates. Select one: I am a child / grandchild OR a foster child / grandchild of a current / retired NUPGE member. Unionized parent / grandparent's name: Ms OR Mr __________________________________________ Indicate the Local (if applicable): Local # _______________, and check the National Union Component or affiliate below that this parent / grandparent is a member of: BCGEU BCFMWU/BCGEU BWDWU/BCGEU CEU/BCGEU GWU/BCGEU HSABC HSAA SGEU MGEU OPSEU CUBGW NBU PEIUPSE NSGEU NAPE More information about our Components can be found on our website at: http://nupge.ca/components . Name and address of the high school you attended during the 2014 / 2015 term: ____________________________ ______________________________________________________________________________________ _______ Are you entering the first year (with no post-secondary credits previously obtained) of a Canadian, PUBLIC, post-secondary, educational program, full-time, for the 2015 / 2016 school term? Yes No Name and location of Canadian PUBLIC, post-secondary, educational institution you plan on attending in September 2015: __________________________________________________________________ _____ Name of the post-secondary program:
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NATIONAL UNION OFPUBLIC AND GENERAL EMPLOYEES
SCHOLARSHIP FOR VISIBLE MINORITIES2015 APPLICATION FORM
Applicant’s name: Ms OR Mr ______________________________________________Home address: ________________________________________________________________________________
Are you, because of race or colour, a visible minority in Canada? YES NO
In order to be eligible, one of your parents / grandparents must belong to or retired from one of the National Union Components or affiliates.
Select one: I am a child / grandchild OR a foster child / grandchild of a current / retired NUPGE member.
Unionized parent / grandparent's name: Ms OR Mr __________________________________________
Indicate the Local (if applicable): Local # _______________, and check the National Union Component or affiliate below that this parent / grandparent is a member of:
Are you entering the first year (with no post-secondary credits previously obtained) of a Canadian, PUBLIC, post-secondary, educational program, full-time, for the 2015 / 2016 school term? Yes No
Name and location of Canadian PUBLIC, post-secondary, educational institution you plan on attending in September 2015:_______________________________________________________________________
Name of the post-secondary program: _____________________________________________________________
Signature of Applicant: ______________________________________________ Date: ______________________
The following information must be completed by an official of the National Union Component to which your parent / grandparent belongs or belonged to (e.g. elected executive member or shop steward of the Local or Component) and who is not related to you.
Position held: ____________________________________ E-mail or Phone No.: ____________________________
Signature of Official: _________________________________________ Date: ______________________________
Application and an original essay must be sent dated no later than July 6, 2015 to:National Union Scholarship for Visible Minorities, 15 Auriga Drive, Nepean, Ontario K2E 1B7
OR by fax: 613-228-9801 OR by e-mail to s cholarship @nupge.ca For more information, please call Deb Sonego at the National Office at 613-228-9800.
Winner will be determined on the basis of a 750 to 1,000 word essay on:
The importance of quality public services in enhancing the quality of life of visible minorities.
An application form must be completed and accompany the essay.
ELIGIBILITY:
All visible minority children / grandchildren (including foster children / grandchildren) of National Union of Public and General Employees current / retired members who plan to enter the first year of a Canadian public, post-secondary education institutionfull-time in 2015 / 2016 are eligible to apply.
AWARD:
The amount of the scholarship is $1,500.
Application deadline: July 6, 2015
For information and / or application forms, contact:
Scholarship for Visible MinoritiesNational Union of Public and General Employees15 Auriga DriveNepean, Ontario K2E 1B7