“Gold Key” Scholarship Program Due December 1st 2020
The Michigan Elks Association Charitable Grant Fund Scholarship Commission, also known as the “Gold Key Scholarship Fund”, was established by the Board of Trustees of the Michigan Elks Association to provide a post-secondary education scholarship for special needs students to be funded through individual donor contributions.

For the purpose of the scholarship “Special Needs” is a student that is physically challenged, currently eligible for special education services under the Federal guidelines or as may be approved by the Gold Key Commission of the Michigan Elks Association.

The scholarship, which is $2000.00 a year, which maybe renewable for up to three additional years, is intended to aid those qualifying applicants who could not otherwise do so, to continue their education or training past high school at either an accredited college, university, licensed trade school or vocational school to help them become self-respecting, self-reliant, and self-supporting member of society.

A member lodge of the Michigan Elks Association must sponsor the applicant. This application and the supporting documents must be submitted, by email, before December 1st of the current year.
Email address *
Name Of Student *
First and last name
Date Of Birth: *
Phone Number *
Address *
City *
State *
Zip Code *
Gender *
1st Parent/Guardian Name *
first and last name please
2nd Parent/Guardian Name
first and last name please
High School Attended *
School Name
Dates you attended your high school *
GPA *
SAT or ACT Score *
Class Rank *
Name of school for which scholarship will be used: *
Why Have You Chosen This School *
What Are Your Education and Career Goals *
How Do You Plan To Finance Your Education *
Are you receiving any other financial aid *
List Your Extracurricular Activities , Awards, Interests and Hobbies *
If You Have Special Needs Please List The Nature And Degree Of The Need. Please Include Any Special Equipment Or Supportive Devices You Require.
Names and Titles of Individuals Submitting Letters Of Recommendation *
Please list three individuals such as teacher, counselor, special education contact or any other responsible adult who will be submitting information. None of these people should be related to the applicant. The accompanying letters must include: how long they have known the applicant and in what capacity, ability,work habits, leadership, personality and integrity attributes. The letters should also include a frank evaluation of the applicants character, sincerity of purpose, appropriateness of goals, and an educated estimate of applicants probable success in college/vocational school period. The letters must be uploaded to mhdbowman34@gmail.com after the application has been submitted.
BY TYPING YOUR NAME BELOW YOU ARE CERTIFYING THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE *
This is the signature line of the applicant
Next
Never submit passwords through Google Forms.
This form was created inside of Hale Area Schools. Report Abuse