Scholarship Application - Geneva Masonic Lodge 139

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Email

Confirm Email

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Phone *

Age *

Sex *

Do you have an immediate (Father, Grandfather, Uncle, or Brother) who is a member of the Geneva Masonic Lodge #139? *

Yes
No

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Current Grade Point Average *

Extra-Curricular Activities (School, Community, Church) *

Please Enter Two Character References (Other Than Family Members)

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Name *

Phone

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Past Community Service *

Current Community Service *

Work Experience *

Leadership Experience *

Do you have any personal Masonic affiliation (Rainbow for Girls, DeMolay International, or other)? *

Yes
No

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Identify a personal tragedy in your life that you had to overcome and explain your resolution. *

What are your future goals? *

If you win this award, how would you apply it to your future goals? *

What do you see as your strengths? *

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"Brotherly Love", "Relief", and "Truth" are core tenents of Freemasonry. Please elaborate on how these principals coincide with each other in your life and impact your day-to-day experiences. *

Response must be 250 words or greater.

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Applicant's Signature *

Date *

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Scholarship Program

Online Scholarship Application Form

Please Enter Two Character References (Other Than Family Members)

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