Public and General Employees

NATIONAL UNION OF

PUBLIC AND GENERAL EMPLOYEES

SCHOLARSHIP FOR VISIBLE MINORITIES

2015 APPLICATION FORM

Applicant’s name:MsOR 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?YESNO

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 ORa foster child / grandchild of a current / retired NUPGE member.

Unionized parent / grandparent's name:Ms ORMr ______

Indicate the Local (if applicable): Local # ______, and check the National Union Component or affiliate below that this parent / grandparent is a member of:

BCGEUBCFMWU/BCGEUBWDWU/BCGEUCEU/BCGEUGWU/BCGEU

HSABCHSAASGEUMGEUOPSEU

CUBGWNBUPEIUPSE NSGEUNAPE

More information about our Components can be found on our website at:

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: ______

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.

Name: ______

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

For more information, please call Deb Sonego at the National Office at 613-228-9800.

PLEASE PRINT ALL INFORMATION CLEARLY

SCHOLARSHIP FOR VISIBLE

MINORITIES

CRITERIA:

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 institution

full-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 Minorities

National Union of Public and General Employees

15 Auriga Drive

Nepean, Ontario K2E 1B7

Tel:613-228-9800

Fax:613-228-9801

E-mail: