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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!