Scholarship Application – Masonic Foundation of Utah

New or Renewal

Pleaase check wether this application is for a renewal of an existing grant or you are submitting for a new grant.

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

employer have Recommendation

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.

List current employer and other work experience.

Letter of Recommendation #1

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Letter of Recommendation #2

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Authorization

I certify that to the best of my knowledge the information contained in this application is correct and complete.