UAW,
LOCAL 974
HEATHER HENNINGER SCHOLARSHIP FUND
APPLICATION
2008 - 2009
Name: _________________________________________________________________
Address: _______________________________________________________________
Zip ____________ Phone (_______)_____________________
Date of Birth ________________ Male _____
Female _____
College Name: __________________________________________________________
Freshman ___ Sophomore ___
Junior ___ Senior ___ Other ______________________
Class
Hours ___________
UAW Local 974 Family Member: _____________________________________________
Badge __________ Relationship to 974 Member________________________________
Address: _______________________________________________________________
Zip ___________ Phone (_______)______________________
Only one entry per student.
Please complete and return
application to the Insurance & Benefits Office. It must be received by 4:00 pm on Friday,
August 29, 2008.
Return to: Insurance & Benefits Office
Local 974 UAW
bs,opeiu#9/afl-cio/clc