BLAIR T. GOLDRUP MEMORIAL SCHOLARSHIP

APPLICATION FOR SCHOLARSHIP

Name
Address
Telephone
Date of Birth
School Name
School Address
Member Name
Member Classification
Member Employed At
Date of Application
Candidate’s Signature

 

Forward to:

Veronica Sherwood

Local 80820 Secretary

c/o Environment Canada

45 Alderney Drive

Dartmouth, NS B2Y 2N6