Toby Morgan Scholarship Application

Nominee's Name____________________________________________________________

Social Security Number_______________________________________________________

Address___________________________________________________________________

City ____________________________________State_______________ Zip____________

County__________________________________ Date of Birth________________________

Father's Name________________________ Occupation/Company _____________________

Address (if different)__________________________________________________________

City ____________________________________State_______________ Zip____________

Mother's Name________________________ Occupation/Company ____________________

Address (if different)__________________________________________________________

City ____________________________________State_______________ Zip____________

Name of Parent or guardian who supports you_______________________________________

EDUCATIONAL INFORMATION

Are you currently a high school senior? [ ] Yes [ ] No

High School Attended and Location:_______________________________________________

Date (or expected date) of graduation:_____________________________________________

Have you taken the SAT of ACT (PSAT/NMSQT acceptable)? [ ] Yes [ ] No

If no, when do you plan to take the test? Date:__________ (Not applicable to students in college)

Are you now in college? [ ] Yes [ ] No

If yes, name of college:________________________________________________________

Current college status: [ ] Freshman [ ] Sophomore [ ] Junior

College Resident Address (if different)____________________________________________

_________________________________________________________________________

Have you ever received any type of graphic arts training? [ ] Yes [ ] No

If yes, describe briefly. (include seminars, workshops, vocational-technical schools, etc.)______

________________________________________________________________________

If you are just entering college, list those colleges to which you have applied or intend to apply for admission.

1. ____________________________________________________State:______________

2._____________________________________________________State:______________

3._____________________________________________________State:______________

SCHOOL ACTIVITIES

List clubs, athletics, student government, scouts, church, music, community services, etc.

_________________________________________________________________________

HONORS

Name of academic award Purpose Date received

_________________________________________________________________________

WORK EXPERIENCE

Position_____________________________ Employer______________________________

Dates Employed_________________________________ Hours worked per week________

Duties____________________________________________________________________

_________________________________________________________________________

Position_____________________________ Employer______________________________

Dates Employed__________________________________ Hours worked per week_______

Duties____________________________________________________________________

_________________________________________________________________________

Position______________________________ Employer_____________________________

Dates Employed___________________________________ Hours worked per week______

Duties____________________________________________________________________

_________________________________________________________________________

Is either parent currently employed in the printing, publishing or packaging industry?
[ ] Yes [ ] No

Is any other relative currently employed in the printing, publishing or packaging industry
[ ] Yes [ ] No

For a special scholarship, do you or your parents belong to any of the following?
(check all that apply)

[ ] Craftsmen's Club [ ] GCIU [ ] NALC [ ] NAQP [ ] NAPL [ ] PIA [ ] IPMA

[ ] Other graphic arts organizations_____________________________________________

Do you have a special interest in a particular printing process? [ ] Yes [ ] No
(If yes, check those that apply)
[ ]Quick Printing [ ] Sheetfed Offset [ ] Web Offset [ ] Gravure [ ] Screen Printing

When did you (or will you) begin college?________________________________________

What type of degree do you intend to pursue? [ ] Certificate [ ] Associate [ ] Bachelor's

What Major do you intend to pursue? ___________________________________________

What Minor do you intend to pursue?____________________________________________

How does this major relate to the printing, publishing, and packaging industry? (be specific)

_________________________________________________________________________

Your personal career goal (as it relates to the printing, publishing and packaging industry)
25 word minimum, attach separate sheet if necessary

_________________________________________________________________________

Hometown Newspaper: include name and address
(if you live in a small community, identify the nearest city or large town)

_________________________________________________________________________

I understand that this scholarship is for full-time college studies (2 years or 4 years) leading to a career in the printing, publishing, and packaging industry, which I plan to pursue. I also understand that if I am awarded a scholarship, I must maintain at least a B average during my academic career. I affirm that the above information I have supplied is accurate and true.

Signature __________________________________________Date____________________

Submit this information by January 31 to:

JR Westland
c/o NALC Awards
15421 Old Columbia Pike
Burtonsville, MD 20866

(301) 384-7700 · FAX (301) 384-2616

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