2015 Lehigh Valley

2015 LEHIGH VALLEY WORKER’S MEMORIAL CEREMONY

"Pray for the dead, and fight like hell for the living." Mother Jones

SUNDAY APRIL 26, 2015 AT 1:00 PM BETHLEHEM ROSE GARDEN 8TH AVENUE & UNION BOULEVARD BETHLEHEM, PA Light refreshments afterward Lehigh Valley Workers Memorial Lehigh Valley Workers Memorial Lehigh Valley Workers Memorial Scholarship Fund Application- part 1 Scholarship Fund Application- part 2 Scholarship Fund Application- part 3 Applicant Information School information, community Required Essay involvement, references Name______Write a brief essay about: Name of Educational Institution & Address What the Worker’s Memorial Address______Scholarship would mean to you. ______Phone______Age ______Course of Please attach your essay here → Study______Social Security # ______Lehigh Valley Workers Memorial Anticipated Graduation Date ______Scholarship Fund Application- part 4 Part time or Full time student?______Name of Person killed or injured on the Please Enclose All 3 Parts of job: Anticipated cost for the next school year? The Lehigh Valley Workers Memorial ______Scholarship Fund Application and Your relationship to the person List Involvement with School or MAIL TO: ______Community activities, Jobs or Volunteer work. ______Lehigh Valley Workers Memorial Employer’s Name & ______Scholarship Fund Address______PO BOX 20226 ______LEHIGH VALLEY, PA 18002-0226 Names & Phone Numbers of at least 2 non- st Date of Injury or Death______family references Postmarked by March 31 1. ______Circumstances of Death or Injury ______Questions? Call 610 -266-0710 ______2. ______