Paul O. Johnson Scholarship — Application Form
(Fill in application on-screen and then Print)
Two $2,000 scholarships will be awarded to two public high school seniors who intend to enroll at any state college or university in Illinois and pursue a career in the field of education.  
I hereby apply for the Paul O. Johnson scholarship sponsored by AFT Local 604.
 
Name of Applicant:  
Street Address:      
City, State, ZIP:             
 
Social Security Number:      Phone Number:  
 
College/University planning on attending:  
 
Public high school currently attending:  
 
Name of parent (s) or guardian who is an AFT-Local 604 member:  
Name of AFT-Local 604 Council where parent(s) or guardian is a member:  
Combined family income for 2008:  

 

Signature of applicant:   ________________________________

After completing the above application, print the application using File, Print. Return this completed application form with attachments no later than March 9, 2009 to:

AFT-Local 604
1520 N. Rock Run Drive #1
Crest Hill, IL 60403-3172