Teamsters Local 705 College Scholarship
& Counseling Program

For detailed information complete and print this registration form and return by January 4, 2008 to College and Career Planning Service, Local 705 - International Brotherhood of Teamsters, 1645 W. Jackson Blvd, 7th floor, Chicago, IL 60612. Select from the options below.

Scholarship:

I would like to compete for one of five $3000 college scholarships (requires a scholarship examination which will be held at the Union Hall on March 8, 2008 and the ACT test administered through the high school).

College Counseling Service:

I would like to use the College Counseling Service. Sessions are scheduled between late November 2007 and early February 2008

Essay Contest:

I would like to participate in the Union History Essay Contest for one of three $1000 awards. The essay will be on one of the topics provided by the scholarship coordinators.

Financial Assistance Workshop:

My parents are interested in the Financial Assistance Workshop. Scheduled dates are December 5, 2007 and January 17, 2008.

Please provide the following contact information:

Applicant's Name
Applicant's Social Security # (last 4 digits)
Street Address
Address additional
City
State
Zip Code
Teamster Parent's Name
Teamster Parent's Social Security # (last 4 digits)
Home Phone
E-mail