Eligibility Criteria
Requirements
Regulations
Terms of Awards
Date__________________________ Please print clearly
Please send instructions as to how I can compete for a scholarship award. I am a senior in the 2015-2016 school year. I am the ___daughter ___*stepdaughter __*granddaughter __son __*stepson __*grandson of ___active __retired __ deceased
Letter carrier________________________________________of Branch #___________City_______________________State____
My name is_________________________________________My address is__________________________________________
City___________________________________State_______Zip ____________Phone #______________________
_____________________________________________ __________________________________________________
Signature of branch officer Printed name of branch officer
_____________________________________________
___________________________________________________
Signature of NALC parent member (or spouse
if
deceased)
Title and Date
Fill out and Mail to:
Virginia Wood—W.D. Haralson Scholarship Committee
Reggie Gentle, Chairman, 2505 Dier Ln., Winston-Salem, NC 27107
Phone: 336-769-9324
*Stepchildren and grandchildren are eligible if they live with the letter carrier in a regular parent-child relationship.