NATIONAL ASSOCIATION OF POSTAL SUPERVISORS

BRANCH 5

POST OFFICE BOX 0001

HARTFORD CT 06141-0001

Scholarship Application

Student’s association with Branch 5 member i.e. son, daughter, grandson, granddaughter

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Applicant Name ______________________________________________________

Address __________________________________________________

City, State, ZIP __________________________________________________

Telephone __________________________________________________

Certification

I hereby certify that the information provided to the NAPS Branch 5 Scholarship Committee in this application is true and correct.

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Signature of Applicant Date Signature of NAPS Branch 5 Member Date