ERNEST J. FREEMAN MEMORIAL SCHOLARSHIP
Sponsored by
GULF BEACH LODGE NO. 291 F.& A.M.

2008 SCHOLARSHIP APPLICATION FORM

 

I would like to apply for the Ernest J. Freeman Memorial Scholarship under the following terms:

I understand High School graduating seniors from southern Pinellas County (from Largo High School south) planning to pursue an education at an accredited two or four-year college, university, or technical trade school are eligible to apply without regard to race, color, sex, creed, religious preference, or Masonic affiliation. Only one scholarship will be awarded per year to a qualified candidate for the amount of no less than $500. The Scholarship Committee of Gulf Beach Lodge No. 291 F.& A.M. will review applications, interview suitable candidates, and award the scholarship to that person who demonstrates scholastic achievement, coupled with volunteer service to the community. All decisions by the committee are final.

I further understand payment of the scholarship shall be made directly to the institution upon receipt of notification from the applicable institution that the recipient is enrolled therein. Should, for some reason, the winner not be able to receive the money (e.g., failing to enroll with a suitable educational insitutiton within six months of announcement of the winner, or moves and cannot be located, etc.), the runner-up shall receive the scholarship.

I further understand all data gathered from this form will be verified by the Association in conjunction with the administration of my High School, and that it will not be published or made publicly available (other than to announce the winner); that Gulf Beach Lodge No. 291 F.& A.M. will only use it to determine eligibility and qualifications for the Association's Scholarship.

THE DEADLINE FOR RECEIVING APPLICATIONS IS FRIDAY, APRIL 15, 2008

   

 

 

 

ADDITIONAL SCHOLARSHIPS

SunCoast Masters & Wardens Association; William S. O'Brien Scholarship offers a separate scholarship available for graduating High School seniors in Pinellas and West Pasco counties. DEADLINE: April 15, 2008.

FIELD VALIDATION: Specific rules for data entry have been incorporated into this web page. For example, some fields will be automatically "UPSHIFTED" or "downshifted" for you; other fields allow only numerics; others allow only alpha-numeric characters; also, please aviod using the pound symbol (#) - this will cause errors.

   

 

 

First Name

Middle Name

Last Name

Extension (Jr., III)

Resident Address

 

 

 

 

 

City

Zip Code

 

 

 

 

 

 

 

 

 

Telephone - include area code

E-Mail

 

 

 

 

 

 

 

 

 

Mother's/Guardian's Name

Daytime Telephone

Occupation

Mother's Company

Located at

 

 

 

 

 

 

Father's/Guardian's Name

Daytime Telephone

Occupation

Father's Company

Located at

 

 

 

High School

Main Telephone Number

 

 

 

Sex

Date of Birth (MM/DD/YYYY)

Grade Point Average

No. of Years Attended this School

 

 

 

 

 

 

Number of siblings living at Home (include ages)

 

 

Number of siblings attending College (include ages)

 

 

Your Guidance Counselor's Name

Telephone

E-Mail Address

School You are Planning to Attend

Location of School (city, state)

Planned Field of Study

 

 

 

 

Explain reason for requesting scholarship

 

Have you ever been arrested, given a written warning, or taken into custody or accused, of a violation of law? (exclude parking or similar minor traffic violations)

If Yes, give date, nature of incident and disposition:

Will you have a car at college?

Manufacturer/Model

Year

 

 

Any accidents or traffic violations?

If Yes, briefly describe:

 

Have you reason to expect scholarship aid from any other source?

If so, give details:

Summarize your Volunteer Activities during your High School Years
Aviod inputting/pasting the pound symbol (#) - this will cause errors.

Clubs & Sports you participated in.
Aviod inputting/pasting the pound symbol (#) - this will cause errors.

Other Awards/Achievements you have won during High School.
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Other Comments or Questions
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Press Send to transmit your application. Press Clear to reset the form.

Thank you for your application and good luck!