ASPTEA

MIKE CUSIMANO 

EDUCATION AWARD PROGRAM

2020

S E E A T T A C H E D F O R M O R E I N F O R M A T I O N

ELIGIBILITY REQUIREMENTS:OPEN TO LEGAL DEPENDENTS OF ACTIVE ASPTEA MEMBERS ONLY  | HIGH SCHOOL SENIOR -OR- FULL-TIME (12 CR.) COLLEGE STUDENT ATTIME OF APPLICATION  |  STUDENT CAN BE UP TO AGE 23 AT TIME OFAPPLICATION  |  MINIMUM UNWEIGHTED CUMULATIVE GPA OF 3.0  | ONE APPLICATION PER STUDENT  |  OFFICIAL SCHOOL TRANSCRIPT(S)MUST BE SUBMITTED TO ASPTEA DIRECTLY FROM EACH ACCREDITEDEDUCATIONAL INSTITUTION(S) ATTENDED 

APPLICATIONS ACCEPTED 3.2.2020- 5.11.2020

AWARDEES ANNOUNCED AT MAY MEMBERSHIP MEETING

YOU MUST BE A MEMBER TO APPLY  

* A S P T E A O F F I C E R S , B O A R D M E M B E R S , A P P L I C A T I O N R E V I E WC O M M I T T E E M E M B E R S A N D T H E I R D E P E N D E N T S A R E N O T E L I G I B L E T OP A R T I C I P A T E . S E E A P P L I C A T I O N F O R M O R E D E T A I L S A N D R U L E S

WIN ONE OF FIVE $800 

AWARDS! 

(PRINT LEGIBLY)

1) APPLICANT’S NAME________________________________________________________________

2) ADDRESS_________________________________________________________________________

3) PHONE NUMBER (INCLUDE AREA CODE)______________________________________

4) DATE OF BIRTH ________________ 5) UNWEIGHTED GRADE POINT AVERAGE___________

6) NAME AND ADDRESS OF SCHOOL YOU ARE (OR WILL BE) ATTENDING:

_____________________________________________________________________

7) PLANNED COURSE OF STUDY____________________________________________________

8) BRIEFLY DESCRIBE HOW THIS AWARD WILL ASSIST YOU WITH YOUR EDUCATION

(ATTACHMENTS MAY NOT EXCEED ONE PAGE)

____________________________________________________________________________________

____________________________________________________________________________________

9) *STUDENT’S

SIGNATURE_________________________________________________DATE___________________

10) ASPTEA MEMBER NAME_______________________________________________

11) ASPTEA MEMBER E-MAIL ADDRESS: ______________________________________

12) ASPTEA MEMBER MAILING ADDRESS:

______________________________________________________________

______________________________________________________________

13) ASPTEA MEMBER PHONE NUMBER +AREA CODE)____________________________________

14) CITY DEPARTMENT_______________________________________________

15) CHECK ONE: PARENT _____ LEGAL GUARDIAN _____

16) *ASPTEA MEMBER SIGNATURE ____________________________________

DATE_________________________

*WILL NOT BE ACCEPTED WITHOUT SIGNATURES AND ALL ELIGIBILITY REQUIREMENTS BEING

MET. =================================================================

===========DO NOT WRITE IN THIS SECTION: ASPTEA VERIFICATION: ________

2020 A S P T E A M I K E C U S I M A N O   E D U C A T I O NA W A R D A P P L I C A T I O N

 SUBMIT A COMPLETED APPLICATION VIA EMAIL / MAIL MAIL COMPLETED APPLICATION TO: ASPTEA MIKE CUSIMANO EDUCATION AWARD637 N. 3RD AVENUE, PHOENIX, AZ 85003  MUST BE POSTMARKED NO LATER THAN MONDAY, MAY 11 , 2020 . APPLICATIONS WILL NOT BE ACCEPTED UNLESS ALL REQUIREMENTS ARE MET. HAND CARRIED APPLICATIONS WILL NOT BE ACCEPTED. (APPLICATION FORM SHOULD BE MAILED/E-MAILED SEPARATELY FROM TRANSCRIPTS TOASPTEA@ASPTEA.COM) SELECTION WILL BE BY RANDOM DRAWING AT ASPTEA’S JUNE 2020 GENERALMEMBERSHIP MEETING RECIPIENT WILL BE REQUIRED TO SUBMIT VERIFICATION OF FULL TIME (12 CREDITS)ENROLLMENT FOR THE FALL 2020 SEMESTER FROM THE STUDENT’S ACCREDITEDEDUCATIONAL INSTITUTION BEFORE PAYMENT ISSUANCE. AWARD WILL BE ISSUED NO LATER THAN SEPTEMBER 8 , 2020QUESTIONS? CALL COLLEEN OSTRANDER AT 602-254-8474, EXT. 2   -OR- 602-909-6011