UAL/UABT Scholarship Application

College at which you are presently enrolled or will enroll:

I am eligible for a UAL/UABT Scholarship through an affiliation with the following member company:
Name of UAL or UABT member company:
Employer ID Number:
Name of related employee:

I have previously received scholarship funds from:
UAL UABT     Year(s): Amount(s):

First Name:
Last Name:
Social Security Number:
Email:
Date of Birth (mm/dd/yyyy format):
Mailing Address:
City:
State:
Zip:
Cell Phone (xxx-xxx-xxxx):
Home Phone (xxx-xxx-xxxx):
My current college class level is:
Next year's class level:
Major:
Minor:
High School:
Graduation Year:
Current GPA:

Those wishing to have their financial need reviewed must submit supporting data, such as tax returns, bank statements, etc.
If you would like your financial situation taken into account, fill in the following: