click TO DOWN THE SCHOLARSHIP APPLICATION
B.P.O.E Poughkeepsie Lodge #275 Scholarship Application 2024-25Academic Year Please complete all sections of this application. Incomplete applications will be disqualified. Applications must be MAILED and POSTMARKED no later than March 1st 2024.
Student Full Name_________________________________ Email_______________________
Student Address_____________________________________________________________
Phone __________________________________________
Date of Birth_________________
Sponsoring Elk Member____________________________ Relation_____________________
(Only parents, grandparents, step-parents, step-grandparents qualify to be a sponsoring ELK member.)
Current High School___________________________
School Counselor___________________ OR
Current College ____________________________
Years Attended:______ Credit Hrs._____
College to be attended_____________________________________
Start Date: __________
Community &/or School activities: (Attach extra page if needed.)
Organization Dates of Service Total Hours Duties __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
List any awards you have received since entering high school i.e., community, sports, student government, honors, etc. (Attach extra page if needed.) __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ ESSAY (Should be 500 words or fewer and attached to the application) Please answer the following in your own words: Discuss how a family member or a friend has been a major influence in shaping who you are as a person. I attest to the accuracy of the information provided in this application.
Student’s Signature:___________________________________ Date________ Signature Exalted Ruler________________________________ Date________ Signature Scholarship Chair ____________________________ Date_______
2024-2025 Lodge Scholarship is now Available!