CWA Local 2222

Alva M. Fravel Scholarship

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Date:

Name Of Member:

Member Address:

Member Phone #:

Name Of Individual Requesting Scholarship:

Relationship To Member:

Social Security Number Of Applicant:

Applicant Address:

Date Of Birth:

High School Attended/Attending:

Graduation Date:

Institution That You Will Be Attending:

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CWA Local 2222

4186 Winchester Rd
Marshall, VA 20115
703-256-2200