NOITU Daniel Lasky Scholarship Application

NOITU’s DANIEL LASKY SCHOLARSHIP FUND

APPLICATION 2023

148-06 Hillside Avenue, Jamaica, New York 11435-9977

Please enter my name for the 2023 NOITU’s Daniel Lasky Scholarship Fund. I will graduate from high school this year and attend college full time in the coming year.

Applicant First Name

Applicant Last Name

I am a senior in high school and will graduate on

Name of High School

My date of birth

My address

Street

City

State

Zip

My contact information

Phone

E-mail

My Father/Mother Name

My father/mother is a member of NOITU Local

My father/mother is employed at

My father's/mother's Union member ID number is

I have read and understand the rules and regulations of the Noitu's Daniel Lasky Scholarship Fund. I certify that the information contained herein is true and accurate to the best of my knowledge and belief.

Name of Applicant

Date

"The good and welfare of our membership is the only reason for our existence."

148-06 Hillside Avenue
Jamaica,NY 11435

(718)291-3434

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