Fillable 13137ScottishRite FORM Wyoming Scottish Rite Foundation

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13137ScottishRite FORM Wyoming Scottish Rite Foundation

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Produced by LCCC Public Relations PRS 13137 6/17
Wyoming Scottish Rite Foundation
SCHOLARSHIP APPLICATION
The Wyoming Scottish Rite Foundation is an incorporated,
non-profit organization of the Masonic Fraternity
dedicated to charitable and educational purposes.
Eligibility
1. Scholarship applicants must be graduates of a Wyoming High School or hold
a Wyoming GED.
2. The recipients must be full-time students during the year the scholarship is
used. Completion of a full course load with a minimum GPA of 2.0 is required
for the first semester in order to receive the scholarship the second (spring)
semester.
How to Apply
1. By June 1
To: LCCC Financial Aid Office
1400 E. College Drive
Cheyenne, WY 82007
2. The application must be filled out completely.
3. The application must be printed neatly or typed.
4. Two letters of reference must accompany the application.
5. Application must be accompanied by a recent transcript of grades.
6. Application must be complete to be considered.
Selection of Recipients
Scholarship Applications will be forwarded to Wyoming Scottish Rite Foundation
Committee who will in turn make the final selection of students. The award will be
based on the following rank order.
1. Leadership Potential and Activities
2. Grade Point Average
3. Financial Need
Wyoming Scottish Rite Foundation
SCHOLARSHIP APPLICATION
Instructions: Return completed application with any attachments to: Scottish Rite Foundation
Scholarship Committee, 1820 Capitol Ave Cheyenne, Wyoming 82001.
Application Deadline: June 1
Part A: Identification Data
Name Social Security Number
Permanent Address
Street
City, State, ZIP
Birthdate
mm/dd/yyyy
Age
Single Married Divorced
No of
Dependent Children
Number of
brothers and sisters
Ages of
brothers and sisters
Occupations/professions of parents
Amount earned on his or her own last 12 months toward living and college expenses
Part B: Educational Information
High School last attended
Name
City, State
Dates attended Date graduated Cumulative grade point average
UNIVERSITIES, COLLEGES AND
VOCATIONAL SCHOOLS PREVIOUSLY ATTENDED
HOURS OF
CREDITS
CUMULATIVE GRADE
POINT AVERAGE
Number of hours attempted Hours successfully completed Cumulative grade point average
Planned college major and /or occupation
Brief statement of your occupation and life goals
List scholarships, grants and amount of nancial aid you have available for the next year
TOTAL
$ 0.00
Part C: Activity Participation (List and describe. Attach extra page if needed.)
High School
College
Community
Job/Work experience and dates
Part D: Masonic Information (Not mandatory to receive a scholarship.)
Name of Masonic of afliated body to which
you are or have been a member
Name of parent or nearest relative
who has a Masonic afliation
Part E: College you plan to attend:
College
Address
Street
City, State, ZIP
I authorize release of my school records to provide the Scottish Rite Foundation with information
concerning my courses, grades, activities and finances.
__________________________________________________ ___________________
Signature of applicant Date
Print and mail with attachments to: LCCC Financial Aid Office
1400 E. College Drive
Cheyenne, WY 82007
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13137ScottishRite FORM Wyoming Scottish Rite Foundation

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Completed 15 February 2020

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