studentsSUPPORTING INFORMATION FOR THE

SCOTTISH RITE SCHOLARSHIP APPLICATION

 

 

 

QUESTIONNAIRE

The questions that follow are designed to collect information about your background, your interests, and your plans. Your answers to these questions will be divulged only to qualified persons and will be used only in connection with your application for this program.

NOTE: The selection of scholarship recipients will be influenced by the completeness of replies, neatness, and legibility. Please type or print, using black ink.

A. You - the Nominee:

Legal name in full:

Last: First: Middle:

Legal residence:

Street (and number)
city (or town) : State: zip code:
telephone no:

Date of birth:

B. Your schooling:

1. List in chronological order all schools that you have attended during the past four years, including any for summer or special courses. If more than one year elapsed between high school or entry into college then please state your activities during that time. Also list any significant college work that is more than four years old.