Submit a Scholarship Application to the Qaid Staten Memorial Scholarship Fund

Scholarship Details

Eligibility

Application Cycles

Selection Criteria

For Returning Applicants

Mid-Semester Grade Report (Spring Cycle Only)

Special Program Scholarships

Legal Notice


Eligibility Requirements

Transcript Submission


How to Apply

  1. Apply Online: Complete the form below.
  2. Submit Required Documents
    • Send materials to:
      • Mail: Qaid Staten Memorial Scholarship Fund, c/o Blackman Brady Communications, 506 Corporate Drive West, Langhorne, PA 19047
      • Email: QaidScholarship@gmail.com
    • Ensure all materials are received by the deadline.

Privacy Notice

Thank you for understanding and for your interest in the Qaid Staten Memorial Scholarship Fund. We are committed to assisting as many deserving students as possible.

Click here to view the Scholarship Fund Flyer


Qaid Staten Memorial Scholarship Fund Application


 Application information:

Please select the purpose of your application. If you are applying for a special program, please enter an amount (maximum $1,000)


  1. Amount:

If you are applying for a special program, please describe the program below:

How did you hear about the scholarship?


 Student information:

 Union Affiliation:

Are you or your parent/guardian a member of one of the Laborer’s District Council of the Philadelphia Metropolitan Area and Vicinity unions?


What is your/their affiliation?


 Parent information:

I, the applying student, give the Samuel Staten, Sr. Charitable Trust permission to communicate and disclose information to the parent whose information is provided above, waiving my FERPA rights.



 Scholastic information:

Please select your current school level.








If you plan to attend a new school or college next semester, please enter the name of the school and when you plan to attend.

Please enter the following information about the school that you are currently attending or most recently attended.

If you have taken your Scholastic Aptitude Test (SAT), please enter your highest scores.

  1.  


 In Your Own Words Essay

Please answer the following questions in a separate typed document and include with your application: (Please limit each answer to 300 words or less!)

1– If applicable, please explain any financial or scholastic extenuating circumstances you feel would be important for the committee to know in making scholarship/special program award decisions.

2– What especially interests you in your chosen field of study? or What especially interests you about the special program?

3– What would you most like to do in your career after graduating from college? or How will the special program aid your future in college and career?

Click the "browse" button below to locate the file you wish to upload on your computer. Only Microsoft Word (.doc and .docx) and .pdf files less than 10 megabytes may be uploaded. The file will be uploaded once you send the form.
Please make sure the file name is formatted with your first and last names as follows: FirstName-LastName.doc ( or .docx or .pdf). The filename should not include any spaces.

I agree to submit the Essay file in the following format:
       FirstName-LastName.doc ( or .docx or .pdf)

Prior to pressing Submit Registration, please check the box below to confirm you are real person. Doing so helps prevent automated programs from abusing this form. If you are not sure about any of the images, you can click the reload icon (circle with arrow) to get a new challenge set.

If application has been submitted a confirmation email will follow. Please be sure to check your spam / junk mail folder. If one is not received please contact us at QaidScholarship@gmail.com

Since 1999, the Samuel Staten, Sr. Charitable Trust has raised over $3.4 million for local charities, showcasing the positive impact of organized labor in our community!