Application Form

Thanks for applying! Your submission will be reviewed shortly, and winners will be announced in June.

Please fill out the form below to be considered for a Beirne Foundation scholarship.

An original essay must be submitted for your application to be considered.
Please submit one document with two items in the Upload your essay box:

Please submit a typed, double-spaced essay of no more than 250 words. The topic of this essay should be related to any aspect of the Labor Movement and how it has affected your life. For example what role have unions played in your family or why are unions important.
In the same document but after the essay, please let us know if you have a major or career objective.

Essays should be submitted in Microsoft Word format. Fields with red stars are required.

Applicant Information

* Name:


Prefix	First	Last

* Address:



City	State	Zip

* Email:

* Phone:

* Sex:

Male Female

Ethnicity:

Relationship

* Member Relation:

member of CWA district and local .

Member Information

* Member Name:


Prefix	First	Last

* Member Email:

Essay

* Upload Your Essay:
Click "Browse" to attach your Word document (.doc) to your application.