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Eureka Chapter #52
Order of Eastern Star Scholarship Application
Name
First
Middle
Last
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Date of Birth
MM
/
DD
/
YYYY
Phone
###
-
###
-
####
Student Email
Parent/Guardian Name
First
Last
Masonic or Eastern Star Affiliation
School
Date
Schools attended during high school
Graduation Date
Class Rank
Number in Class
Scholastic and Extra-Curricular Information
Honor/Award
Year
Honors and Awards Received
Organization
Office Held
Year
Organizational Actvities
Civic/Church Information
Text Grid
Organization
Office Held
Year
Organizational Activities
College Information
Colleges accepted to
Course of Study
Degree
Why do you feel that you are worthy of this scholarship?
