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11th Annual

Scholarship Application Form

PleasecompletethisformpromptlyandreturnittoInternationalHeadquartersnolaterthanApril1,2020.ThewinnerswillbenotifiedJuly2020andannouncedintheSummerJOURNAL.Ifyoucannotprovidesomeoftheinformationrequested,besuretoexplainfully.

OAANAPPLICATIONORRELATEDDOCUMENTSPOSTMARKEDLATER

TTHANAPRIL1WILLNOTBEACKNOWLEDGEDORCONSIDERED

SCHOLARSHIPSWILLBEAWARDEDTOFULL-TIMEUNDERGRADUATE

STUDENTSONLY

THEAPPLICATIONFORMISAVAILABLEONOURWEBSITE:www.opcmia.org

Pleaseprintclearlyortype

I.GeneralInformation

HomePhone#:_____________

Name_____________________________________CellPhone:________________(Lastname)(Firstname)(Middleinitial) (Areacode)

Address___________________________________________City_________________

StateorProvince__________________________________________Zipcode______________ BirthDate_____/____/________Birthplace_____________Sex:Male!Female!Single!Married!Namesandagesofchildren:____________________

OPERATIVE

PLASTERERS’ AND CEMENT MASONS’

PATRICK D. FINLEY SCHOLARSHIP FUND

OPCMIA

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Iamadependent ______

Ifadependent,listtheOPCMIAmember’sname____________________________

OPCMIARegistrationNo.____________OPCMIAMemberSS#________________ (Last4digits)OPCMIALocalUnionNo.____________ApplicantSS#______________________ (Last4digits)

II.AcademicRecord

1.HighSchoolorGEDInformation

Whathighschool(orothersecondaryschool)areyouattending?(Ifyouarenotattendinghighschool,pleaseskipto#2).

NameofSchool_____________________________________________________________

Address___________________________________________________________________ Street City/State Zipcode

Ifyouarecurrentlyastudentinthisschool,statethemonthandyearinwhichyouwillgraduate._________________

Ifyoudidnotgraduate,haveyouobtainedanequivalencycertificate?_______________

Ifso,when?_________________________* Month-Year

What classwork, correspondence study or tests did you take to obtain this equivalencydiplomaorcertificate?Listtheclassesorcoursestakenandthecompletiondateofeachclassorcourse.____________________________________________________________________________________________________________________________

______________________________________________________________________

______________________________________________________________________

IfyouhavetakenaGeneralEducationDevelopmentTest(“GED”),indicatethedateonwhichthattestwastakenandyourscore.Date:____________Score:____________

*NOTE: Acopyofyourequivalencydiplomaorcertificatemustbeattached totheapplication.

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2. GeneralCoursesnottakenforCollegeCredits

Listcoursesnottakenforcollegecredit(suchascorrespondencecourses,tradeornightschool,companyorunionclasses,ArmedServicesSchools,apprenticeshipclasses,etc.)

Courseorsubjecttaken

SchoolorOrganizationWhichgavethiscourse

DatesCoursebegan&ended

Coursehoursperweek

Grade,ifany

3.Colleges:

Ifyouareattendingcollegenow,statethecollegenameandaddress.

NameofSchool____________________________________________________________

Address__________________________________________________________________ (Zipcode)

Listbelowinchronologicalorderallcollegesattended,dateofattendance,programhourscompleted(indicatequarterorsemesterhours).

NameofInstitution

EnteredMonthYear

LeftMonthYear

TypeofProgram

HoursCompleted*

*indicatewhetherquarter(q)hoursorsemester(s)hours.

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4.IfyouweretoreceiveascholarshipfromtheOPCMIAScholarshipFundandthenenteredcollegefull-timeintheFall,howwouldthecollegeclassifyyou?

!Freshman !Sophomore !Junior !Senior

5.Whatisyourestimateofthenumberofyearsoffull-timestudyyouwillrequiretoattainyourB.A.orequivalentdegree?

!1year !2years !3years !4years !other_______________________

6.Whatisyourintendedmajor?_____________________________________________

III.Apprenticeship

Haveyoubeen,orareyounow,inanapprenticeshipprogram?_____________________

Ifso,whendidyoustart?____________________Whendidyoufinish?______________

Whatcompanyandwhatunionsponsoredthisprogram?__________________________

_________________________________________________________________________ApprenticeshipCoursesshouldbelistedunderquestion#2aboveinSectionII.

IV.AcademicTranscript

If you are a high school senior, a transcript of your high school grades indicating yourunweightedgradepointaveragemustbesubmittedinconnectionwithyourapplication.Ifyouarecurrentlyenrolledincollege,pleasesendyourcollegetranscript(insteadofyourhighschool transcript). Pleaseask theappropriate schoolofficials foranofficial copyofyourtranscriptinasealedenvelope.Submitwithallotherrequireddocumentsinalargeenvelopetothefollowingaddress: PatrickD.FinleyScholarshipFund 9700PatuxentWoodsDrive,Suite200 Columbia,MD21046

V.Essay

ApplicantsarerequiredtoincludeanessayontheimportanceoftheOperativePlasterers’andCementMasons’InternationalAssociation(OPCMIA)toyourfamily.The

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essayshoulddemonstrateyourknowledgeandappreciationof therole that theOPCMIAhasplayedinthelifeofyourfamily.Allessaysshouldbedoublespacedandcannotexceedtwo(2)typewrittenpages.Additionalinformationhasbeenincludedinthispacket.

PleaseOMITALLIDENTIFIABLEINFORMATIONfromyouressayi.e.name,member’sname,localunion,cityorstate.Thisistoinsurethatallessaysarejudgedequitably.

VI.LetterofRecommendation

PleaseOMITALLIDENTIFIABLEINFORMATIONfromyourletterofrecommendationi.e.name,member’sname,localunion,cityorstate.Thisistoinsurethatalllettersarejudgedequitably.

VII.Definition(s)

1.Member:anactivememberingoodstandingoftheOPCMIA.

2.Dependent:anaturalchild,stepchild,adoptedchild,orchildforwhomamemberhaslegalguardianship,whoisclaimedasadependentonthemember’sfederalincometaxreturn.

3.Full-timeStudent:Onewhoisattendingorwillattendacollegeoruniversity,andwhomaintainsenrollmentfortheentireperiodofattendanceinatleasttheminimumnumberof classhoursperquarteror semester that the institutiondefinesas constitutinga “full-time”courseload,ortheminimumnumberofclasshoursthatarenecessarytoenrollintobeconsidereda“full-timestudent”bythatinstitution.

CheckList

Yes No DoesNot Apply____________ 1.Haveyoufullyansweredallthequestionscontainedon theapplication?

____________ 2.IfyouhavebeenawardedanEquivalencyDiplomaor Certificate,haveyouattachedacopyofthisdocument toyourapplication?

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Yes No DoesNot Apply____________ 3.Haveyourequestedanofficialcopyofyourhighschool orcollegetranscriptinasealedenvelopefromthe appropriateschoolofficial?

____________ 4.Haveyouenclosedyouressayalongwithyourapplication?____ ________ 5.HaveyouenclosedyourLetterofRecommendation?

Applications must be signed

or the applicant will be disqualified.

PLEASE NOTE: Those who received the scholarship awards are

not eligible to apply for additional scholarships under this program.

StatementofTermsandConditions

Note:Thefollowingstatementmustbesignedbytheapplicantortheapplicationwillbeinvalid.

IherebyindicatemyunderstandingthatthedecisionsoftheSelectionCommitteeintheselectionof scholarshipwinnersare finalandbindingonallapplicants. Iunderstandthat theFundreserves therightatany timeandwithoutgivinganyreasonto terminate,cancel or end the programprovided that scholarships or awards already granted and/orannouncedshallruntotheendpromisedandpubliclystated.

I agree that should I becomea successful candidate for a Fund Scholarship, I shallcomplywithalltherulesandregulationsforsuchscholarship.

In the event I successfully compete for a Fund Scholarship, I hereby give mypermissiontotheFund,andtheOPCMIAtopublishtheattachedessay,withmynameaswasrequiredformyscholarshipapplication.

Istatethatalltheinformationcontainedontheattachedscholarshipapplicationis,tothebestofmyknowledge,trueandcorrect.Iacknowledgethatifanyoftheinformationis found to be false and I am awarded a scholarship based upon such erroneousinformation,myscholarshipissubjecttoimmediateterminationandallfundsreceivedtothedateofterminationshallbereturned.

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IherebystateandIhavereadtherulesandregulationsoftheOPCMIAScholarshipFundandthatIagreetoabidebythemincaseIwinanaward.Moreover,Iunderstandandagree that, if any of the Fund’s rules and regulations are violated subsequent to theawardingofascholarship,thescholarshipshallbe terminated,andallunusedfundsshallbereturned. ___________________________________

Signature ___________________________________ DateIMPORTANTNOTE:

Sendthisapplicationformalongwithyourtranscript,essayandletterofrecommendationinalargeenvelopeto:

PatrickD.FinleyScholarshipFund 9700PatuxentWoodsDrive,Suite200 Columbia,MD21046

PLEASENOTE:DependentsofOPCMIAInternationalStaffandGeneralOfficersarenoteligibletoapply.TheSelectionCommitteereservestherighttorequestadditionalinformationonanyapplicant.