UNITY MASONIC LODGE #367 SCHOLARSHIP
PURPOSE
In cooperation with the Education Foundation of Kenosha, the Unity Lodge #367, F&AM is sponsoring a $1000.00, one-time, scholarship to provide assistance to a Kenosha Unified School District student who will be graduating from Indian Trail High School and Academy this year. This scholarship may be used only at the University of Wisconsin - Parkside.

ELIGIBILITY
Academically capable students must provide a transcript showing a 3.5 grade point average or better and provide evidence of acceptance to the University of Wisconsin - Parkside to pursue a degree.

FINANCIAL DATA
The scholarship award amount is $1000. The award is to be used for tuition, fees, and college residential costs and will be issued to the college or university for use by student.

APPLICATION PROCEDURE
Applications may be obtained from Kenosha Unified high school guidance offices. Completed applications must be submitted by March 15th.

Email address *
UNITY MASONIC LODGE #367 SCHOLARSHIP
Date of Application *
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Date of Graduation *
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PERSONAL INFORMATION:
Name *
Date of Birth *
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Address *
Telephone *
Name of parent(s) *
Occupation of parent(s) *
Employer of parent(s) *
Number of Dependent Children in Family *
Number of Dependent Children in College/Technical School *
EDUCATION INFORMATION:
High School Attended *
GPA Number (Not Weighted) *
List below colleges to which you have applied. Indicate if you have been accepted. *
Planned Major
School Achievements/Activities List (Required) *
School Achievements/Activities - Attach information here - Optional
Volunteerism/Community Service List (Required) *
Volunteerism/Community Service - Attach information here - Optional
Attach a current copy of your high school transcript. *
Required
Acceptance Letters are Required to be uploaded here *
Required
FINANCIAL INFORMATION:
Explain how financial assistance will help you to continue your education *
REFERENCES:
Name / Relationship / Phone (Reference 1) *
Name / Relationship / Phone (Reference 2) *
Name / Relationship / Phone (Reference 3) *
A copy of your responses will be emailed to the address you provided.
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