Scholarship Application - Geneva Masonic Lodge 139

Scholarship Program

Online Scholarship Application Form

Personal Information - Step 1 of 4

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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Reach out with any questions, concerns, or for any other reason you may have. We are happy to help however we can. Someone will usually respond within a couple of hours, but it can sometimes take longer. If you need more immediate attention, try calling us at: (630) 492-0406