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11th Annual
Scholarship Application Form
PleasecompletethisformpromptlyandreturnittoInternationalHeadquartersnolaterthanApril1,2020.ThewinnerswillbenotifiedJuly2020andannouncedintheSummerJOURNAL.Ifyoucannotprovidesomeoftheinformationrequested,besuretoexplainfully.
OAANAPPLICATIONORRELATEDDOCUMENTSPOSTMARKEDLATER
TTHANAPRIL1WILLNOTBEACKNOWLEDGEDORCONSIDERED
SCHOLARSHIPSWILLBEAWARDEDTOFULL-TIMEUNDERGRADUATE
STUDENTSONLY
THEAPPLICATIONFORMISAVAILABLEONOURWEBSITE:www.opcmia.org
Pleaseprintclearlyortype
I.GeneralInformation
HomePhone#:_____________
Name_____________________________________CellPhone:________________(Lastname)(Firstname)(Middleinitial) (Areacode)
Address___________________________________________City_________________
StateorProvince__________________________________________Zipcode______________ BirthDate_____/____/________Birthplace_____________Sex:Male!Female!Single!Married!Namesandagesofchildren:____________________
OPERATIVE
PLASTERERS’ AND CEMENT MASONS’
PATRICK D. FINLEY SCHOLARSHIP FUND
OPCMIA
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Iamadependent ______
Ifadependent,listtheOPCMIAmember’sname____________________________
OPCMIARegistrationNo.____________OPCMIAMemberSS#________________ (Last4digits)OPCMIALocalUnionNo.____________ApplicantSS#______________________ (Last4digits)
II.AcademicRecord
1.HighSchoolorGEDInformation
Whathighschool(orothersecondaryschool)areyouattending?(Ifyouarenotattendinghighschool,pleaseskipto#2).
NameofSchool_____________________________________________________________
Address___________________________________________________________________ Street City/State Zipcode
Ifyouarecurrentlyastudentinthisschool,statethemonthandyearinwhichyouwillgraduate._________________
Ifyoudidnotgraduate,haveyouobtainedanequivalencycertificate?_______________
Ifso,when?_________________________* Month-Year
What classwork, correspondence study or tests did you take to obtain this equivalencydiplomaorcertificate?Listtheclassesorcoursestakenandthecompletiondateofeachclassorcourse.____________________________________________________________________________________________________________________________
______________________________________________________________________
______________________________________________________________________
IfyouhavetakenaGeneralEducationDevelopmentTest(“GED”),indicatethedateonwhichthattestwastakenandyourscore.Date:____________Score:____________
*NOTE: Acopyofyourequivalencydiplomaorcertificatemustbeattached totheapplication.
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2. GeneralCoursesnottakenforCollegeCredits
Listcoursesnottakenforcollegecredit(suchascorrespondencecourses,tradeornightschool,companyorunionclasses,ArmedServicesSchools,apprenticeshipclasses,etc.)
Courseorsubjecttaken
SchoolorOrganizationWhichgavethiscourse
DatesCoursebegan&ended
Coursehoursperweek
Grade,ifany
3.Colleges:
Ifyouareattendingcollegenow,statethecollegenameandaddress.
NameofSchool____________________________________________________________
Address__________________________________________________________________ (Zipcode)
Listbelowinchronologicalorderallcollegesattended,dateofattendance,programhourscompleted(indicatequarterorsemesterhours).
NameofInstitution
EnteredMonthYear
LeftMonthYear
TypeofProgram
HoursCompleted*
*indicatewhetherquarter(q)hoursorsemester(s)hours.
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4.IfyouweretoreceiveascholarshipfromtheOPCMIAScholarshipFundandthenenteredcollegefull-timeintheFall,howwouldthecollegeclassifyyou?
!Freshman !Sophomore !Junior !Senior
5.Whatisyourestimateofthenumberofyearsoffull-timestudyyouwillrequiretoattainyourB.A.orequivalentdegree?
!1year !2years !3years !4years !other_______________________
6.Whatisyourintendedmajor?_____________________________________________
III.Apprenticeship
Haveyoubeen,orareyounow,inanapprenticeshipprogram?_____________________
Ifso,whendidyoustart?____________________Whendidyoufinish?______________
Whatcompanyandwhatunionsponsoredthisprogram?__________________________
_________________________________________________________________________ApprenticeshipCoursesshouldbelistedunderquestion#2aboveinSectionII.
IV.AcademicTranscript
If you are a high school senior, a transcript of your high school grades indicating yourunweightedgradepointaveragemustbesubmittedinconnectionwithyourapplication.Ifyouarecurrentlyenrolledincollege,pleasesendyourcollegetranscript(insteadofyourhighschool transcript). Pleaseask theappropriate schoolofficials foranofficial copyofyourtranscriptinasealedenvelope.Submitwithallotherrequireddocumentsinalargeenvelopetothefollowingaddress: PatrickD.FinleyScholarshipFund 9700PatuxentWoodsDrive,Suite200 Columbia,MD21046
V.Essay
ApplicantsarerequiredtoincludeanessayontheimportanceoftheOperativePlasterers’andCementMasons’InternationalAssociation(OPCMIA)toyourfamily.The
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essayshoulddemonstrateyourknowledgeandappreciationof therole that theOPCMIAhasplayedinthelifeofyourfamily.Allessaysshouldbedoublespacedandcannotexceedtwo(2)typewrittenpages.Additionalinformationhasbeenincludedinthispacket.
PleaseOMITALLIDENTIFIABLEINFORMATIONfromyouressayi.e.name,member’sname,localunion,cityorstate.Thisistoinsurethatallessaysarejudgedequitably.
VI.LetterofRecommendation
PleaseOMITALLIDENTIFIABLEINFORMATIONfromyourletterofrecommendationi.e.name,member’sname,localunion,cityorstate.Thisistoinsurethatalllettersarejudgedequitably.
VII.Definition(s)
1.Member:anactivememberingoodstandingoftheOPCMIA.
2.Dependent:anaturalchild,stepchild,adoptedchild,orchildforwhomamemberhaslegalguardianship,whoisclaimedasadependentonthemember’sfederalincometaxreturn.
3.Full-timeStudent:Onewhoisattendingorwillattendacollegeoruniversity,andwhomaintainsenrollmentfortheentireperiodofattendanceinatleasttheminimumnumberof classhoursperquarteror semester that the institutiondefinesas constitutinga “full-time”courseload,ortheminimumnumberofclasshoursthatarenecessarytoenrollintobeconsidereda“full-timestudent”bythatinstitution.
CheckList
Yes No DoesNot Apply____________ 1.Haveyoufullyansweredallthequestionscontainedon theapplication?
____________ 2.IfyouhavebeenawardedanEquivalencyDiplomaor Certificate,haveyouattachedacopyofthisdocument toyourapplication?
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Yes No DoesNot Apply____________ 3.Haveyourequestedanofficialcopyofyourhighschool orcollegetranscriptinasealedenvelopefromthe appropriateschoolofficial?
____________ 4.Haveyouenclosedyouressayalongwithyourapplication?____ ________ 5.HaveyouenclosedyourLetterofRecommendation?
Applications must be signed
or the applicant will be disqualified.
PLEASE NOTE: Those who received the scholarship awards are
not eligible to apply for additional scholarships under this program.
StatementofTermsandConditions
Note:Thefollowingstatementmustbesignedbytheapplicantortheapplicationwillbeinvalid.
IherebyindicatemyunderstandingthatthedecisionsoftheSelectionCommitteeintheselectionof scholarshipwinnersare finalandbindingonallapplicants. Iunderstandthat theFundreserves therightatany timeandwithoutgivinganyreasonto terminate,cancel or end the programprovided that scholarships or awards already granted and/orannouncedshallruntotheendpromisedandpubliclystated.
I agree that should I becomea successful candidate for a Fund Scholarship, I shallcomplywithalltherulesandregulationsforsuchscholarship.
In the event I successfully compete for a Fund Scholarship, I hereby give mypermissiontotheFund,andtheOPCMIAtopublishtheattachedessay,withmynameaswasrequiredformyscholarshipapplication.
Istatethatalltheinformationcontainedontheattachedscholarshipapplicationis,tothebestofmyknowledge,trueandcorrect.Iacknowledgethatifanyoftheinformationis found to be false and I am awarded a scholarship based upon such erroneousinformation,myscholarshipissubjecttoimmediateterminationandallfundsreceivedtothedateofterminationshallbereturned.
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IherebystateandIhavereadtherulesandregulationsoftheOPCMIAScholarshipFundandthatIagreetoabidebythemincaseIwinanaward.Moreover,Iunderstandandagree that, if any of the Fund’s rules and regulations are violated subsequent to theawardingofascholarship,thescholarshipshallbe terminated,andallunusedfundsshallbereturned. ___________________________________
Signature ___________________________________ DateIMPORTANTNOTE:
Sendthisapplicationformalongwithyourtranscript,essayandletterofrecommendationinalargeenvelopeto:
PatrickD.FinleyScholarshipFund 9700PatuxentWoodsDrive,Suite200 Columbia,MD21046
PLEASENOTE:DependentsofOPCMIAInternationalStaffandGeneralOfficersarenoteligibletoapply.TheSelectionCommitteereservestherighttorequestadditionalinformationonanyapplicant.
