NELSON MASONIC LODGE #135 SCHOLARSHIP APPLICATION

Contact Information

Student's Name:

Mailing Address:

Phone Number:

Email Address:

Parent/Guardian’s Name

College Information:

Name of School:

Financial Office Address:

*Note: By submitting this application you confirm that you will be attending a 2 or 4yr program at an accredited College or Technical Institute.*

Lodge Award Night Information

Nelson Lodge #135 will be hosting a dinner at our lodge to honor the winners of this scholarship and to complete the presentation requirement. The award letter will provide the details of when and where.

Presentation Information:

The student will be given up to 10 minutes for a presentation of the following three questions.

    * Future Plans?

    * Community involvement or activities?

    * How have you seen this impact your community?

Application Due Date and Location:

*High School Office will provide the due date and location*


I. High School Information

Class Rank

GPA

ACT Score

   **Class Rank, GPA and ACT Score to be completed by the High School Office**

List academic activities and years of participation for GRADES 9-12:

    List activity, grade during activity and number of years involved.

II. FUTURE PLANS

College plans (which college/tech school have you applied and/or have been accepted)

Course of study

Degree desired

Career desired

III. COMMUNITY INVOLVEMENT (DEMOLAY, JOB'S DAUGHTERS, CHURCH, SCOUTS, etc.)

IV. MEANING OF SCHOLARSHIP

Why is this scholarship important to you and why do you feel you are the right candidate to receive it?

V. PRESENTATION

Would you be willing to give a presentation to the members of Nelson Masonic Lodge?  (Please check one)

Yes

No

If you wish to list additional information that you believe is pertinent, please do so below.

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2018