Application

 Lavina Michl Wright Scholarship

To apply for one of the Lavina Michl Wright scholarships, students should be college bound high school seniors and current college freshmen who are children of Local 153 members in good standing. Students should print and fill out this form and mail it to Richard Lanigan, Secretary-Treasurer Local 153, 265 West 14th Street, NY, NY 10011.  Along with this form students must also submit their high school transcripts, SAT and ACT scores, a brief statement on career goals and why the student should be awarded the scholarship, and two letters of recommendation from high school or college instructors and /or advisors. 

Student's Name:____________________________________________________

College or University:________________________________________________

Student's Parent:___________________________________________________

Parent's Place of Employment:__________________________________________

Student's Home Address:______________________________________________

Student's Contact Numbers:

Phone:__________________________

Fax:____________________________

Email Address:_____________________________________________________