Past Congress Officer Scholarship Application Document


Full Name: Address:
City: State:
Zip: Email:
Phone: Date Of Birth:
College / Vocational School:
Location (Address of Bursar's Office): Type of Degree Being Pursued (Certificate, Associates, Bachelors, Masters, Doctoral, etc.) Bachelors:
Major (e.g. Accounting): Minor:
GPA (out of 4.0): Expected Graduation Date:
What extracurriculars or Non-DeMolay/Non-Masonic clubs and organizations are you involved * in?: Are you receiving any other scholarships? List below.:
DeMolay Date of Initiation (Month/Year): What chapter(s) are you affiliated with:
Location: What Jurisdiction were you Jurisdictional/State Master Councilor of?:
What year(s) were you a Congress Officer?: IMC or ICS:
Are you currently a registered DeMolay Advisor?: If "Yes", for what chapter? :
Are you a Master Mason?: If "Yes", in which Lodge :
Are you a member of any other Masonic Appendant Bodies? List below.: What do you hope to do after your graduation with your degree/certificate?:
What was your favorite Congress Officer memory/event you traveled to?: Will you be in Phoenix, Arizona for DeMolay International Session this year?:
Name: Date:

Leave this empty:

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Signed by DeMolay Foundation
Signed On: September 30, 2024


Signature Certificate
Document name: Past Congress Officer Scholarship Application Document
lock iconUnique Document ID: 7671e0e7a2e7b6b1b7165cf3e32e343abb8d9f07
Timestamp Audit
September 27, 2024 12:03 pm GMTPast Congress Officer Scholarship Application Document Uploaded by Demolay Foundation - support@autowebtech.com IP 49.37.9.136