Scholarship Recipient Contact Info UpdateLiUNA Admin2026-03-18T15:59:03+00:00

Scholarship Program – Eligible Recipient Contact Information Update Form

Member Name *

Local Union Number *

Name of eligible person *

Birthdate of eligible person *

Is eligible person a minor (under 18 years of age)? *

of Union guardian's

Eligible person's address: *

Address Line 1

Address Line 2

City

State

Zip Code

Eligible person's email: *

Eligible person's relationship to member: *