Scottish Rite Foundation of Georgia, Inc. application page 2

Name of college
College addrs (city and state):

Type of career that you're preparing for:
Will you attend part-time or full-time?
No. of hours Anticipated date of graduation:
anticipated Degree:

Have you attended college elsewhere? yes no

If so then please complete the following:
Name of College,(city and state)
Years_completed: Major: Degree/Diploma

Name of College,(city and state)
Years_completed: Major: Degree/Diploma

Name of College,(city and state)
Years_completed: Major: Degree/Diploma

ARE YOU A CITIZEN OF THE UNITED STATES? yes no

Applicant's Signature:_______________________________ (must be hand-written on this form) date

INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED

PLEASE DO NOT FAX MATERIALS

ORIGINAL TRANSCRIPTS MUST BE MAILED - EMAIL COPIES WILL NOT BE ACCEPTED

(print this page out before continuing to the next page)