APPLICATION
FOR SCOTTISH RITE SCHOLARSHIP
PLEASE ATTACH
TO THIS APPLICATION, A BRIEF RESUME, OUTLINING YOUR PROPOSED COLLEGE OR
UNIVERSITY PROGRAM, THE COLLEGE OR UNIVERSITY THAT YOU PLAN TO ATTEND, AND
REASON FOR APPLYING FOR THIS SCHOLARSHIP. WE
ALSO REQUIRE A COPY OF YOUR ACEDIMIC HISTORY DATA, FROM THE HIGH SCHOOL FROM
WHICH YOU HAVE JUST GRADUATED AND/OR THE COLLEGE YOU MAY BE ATTENDING.
APPLICANTS
NAME____________________________________________DATE OF BIRTH________________________
MAILING
ADDRESS__________________________________________________________________________________
APPLICANTS
TELEPHONE_____________________________________________________________________________
HIGH SCHOOL FROM WHICH YOU
GRADUATED___________________________________________________________
YEAR GRADUATED______________________________________________GRADE
POINT AVERAGE________________
PARENTS
NAME_____________________________________________________________________________________
PARENTS
ADDRESS__________________________________________________________________________________
PARENTS
TELEPHONE________________________________________________________________________________
IF YOU WERE ACTIVE IN STUDENT
ORGANIZATIONS IN YOUR HIGH SCHOOL, PLEASE LIST THEM BELOW, ALONG WITH ANY OFFICE
HELD.
1.________________________________________________________________________________________________
2.________________________________________________________________________________________________
3.________________________________________________________________________________________________
4.________________________________________________________________________________________________
5.________________________________________________________________________________________________
IF YOU WERE, OR ARE, ACTIVE IN MASONIC
RELATED ORGANIZATIONS, PLEASE LIST THEM, ALONG WITH ANY OFFICE HELD.
1.________________________________________________________________________________________________
2.________________________________________________________________________________________________
3._________________________________________________________________________________________________
Application for Scottish Rite
Scholarship
GIVE
NAMES OF ANY AWARDS. LOANS, SCHOLARSHIPS, OR STUDENT AID YOU HAVE RECEIVED, PAST
OR PRESENT, AND AMOUNT OF MONEY WITH EACH:_____
_________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
VOCATION OR CAREER PLANNED:
____________________________________________________________________
HAVE YOU EVER RECEIVED A TRAFFIC CITATION:
YES___________ NO____________
IF YES, HOW MANY____________ IN WHAT
STATES_________________________________
HAVE YOU EVER BEEN ARRESTED:
YES_______NO______IF YES EXPAIN THE
CHARGE, TIME AND
LOCATION_______________________________________________________________________
I HAVE ANSWERED ALL
QUESTIONS ON THIS APPLICATION AND I UNDERSTAND THAT ANY FALSE STATEMENT OR
ANSWERS, ON MY PART, WILL DISQUALIFY ME AS A RECIPIENT.
SIGNED___________________________________________DATE___________________________
NOTE:
DEADLINE FOR THIS APPLICATION, TO BE RECEIVED IN THE SCOTTISH RITE OFFICE
IS JULY 1ST OF EACH YEAR. ALL
APPLICATIONS RECEIVED AFTER THIS DEADLINE WILL BE RETURNED AND MUST BE
RE-SUBMITTED THE FOLLOWING YEAR.
THE
WINNING APPLICANTS WILL BE NOTIFIED, BY LETTER AND/OR BY TELEPHONE, ON OR BEFORE
AUGUST 15TH, OF THE YEAR THAT YOU HAVE APPLIED.
IF YOU ARE NOT CHOSEN AS A WINNER, WE ENCOURAGE YOU TO
UPDATE YOUR RESUME, AND RE-APPLY THE FOLLOWING YEAR.
NOTICES WILL BE SENT TO WINNING APPLICANTS ONLY.
Please
mail Application to
Las
Vegas Scottish Rite of Freemason
2200
W Mesquite Ave #120
Las
Vegas, NV 8906-3779
Telephone
for Information 702-382-4631