Scholarship Application – Masonic Foundation of Utah

New or Renewal

Please check whether this application is for a renewal of an existing scholarship or you are submitting for a new scholarship.

Student Name

First

Last

Date of Birth

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email Adress

Email

Confirm Email

Phone Number

College or University you have been accepted to

Student ID Number

Anticipated Graduation Year

Student Classification

Major

Minor

Current or Former Masonic Membership Affiliations (if any)

High School

High School Graduation Year

List Any Advanced Placement Classes

Describe your academic goals.

List other post High School educational institutions you have attended.

List other scholarships and the amount of each.

List any scholastic, community, church activities or extracurricular activities. Include any honors.

How would you and society benefit from your educational achievements if you majored and worked in your chosen field?

Describe the qualities, duties, and privileges of U.S. citizenship as you understand them.

Explain why a scholarship is important to you.

Please give a detailed reflection on this last academic year.

What were your successes? What were your challenges? How will you incorporate these into the next year of your academic pursuits?

List current employer and other work experience.

Letter of Recommendation #1

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Letter of Recommendation #2

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Attestation

I certify that to the best of my knowledge the information contained in this application is correct and complete. I also acknowledge that my application will not be considered unless official transcripts have been received at office@utahgrandlodge.org by June 30th. No late submissions will be accepted.