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)

Entering the Fall 2008 term my college class level will be:

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

First Name:
Last Name:
Email:
Date of Birth (mm/dd/yyyy format):
Mailing Address:
City:
State:
Zip:
Daytime Phone (xxx-xxx-xxxx):
Evening Phone (xxx-xxx-xxxx):
Course of Study:
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: