Application for Scottish Rite Abbott Scholarship Aid

The applicant must personally complete this application. The application and all supporting documents must be submitted to the Valley Office designated below. Deadline for receiving applications is April 1.Applications received after that date will not be considered.

PLEASE REVIEW ALL ELIGIBILITY REQUIREMENTS CAREFULLY.

Return to:Valley of Cincinnati Abbott Scholarship

317 East Fifth Street

Cincinnati, OH 45202-3399

Last Name:______FirstName:______MI:______

Home Street Address:______

HomeCity:______State:______Zip:______

Email:______

Home Telephone:______CellTelephone:______

Fathers Name:______Occupation:______

Mothers Name:______Occupation:______

Is your father a Mason (Y/N)?______Is your father a Scottish Rite Mason (Y/N)______

If Yes, Valley:______Member No.______

To what youth organization affiliated with Freemasonry do (have) you belong(ed)? (DeMolay, Rainbow, Jobs Daughters)?______

Eligibility requirements:

  • A Scottish Rite Mason of the Northern Masonic Jurisdiction
  • A child of a member in good standing of the Valley of Cincinnati who is a high school senior or currently enrolled at an accredited college or university, who has attained a minimum grade point average of 2.75 on a 4.0 scale.
  • A member of DeMolay, Rainbow or Jobs Daughters in the Northern Masonic Jurisdiction who is a high school senior or currently enrolled at an accredited college or university, who has attained a minimum grade point average of 2.75 on a 4.0 scale.

Please submit only the following documentation with the application (one copy each):

  • Most current copy of high school or college grade transcript.
  • Most current copy of ACT or SAT test results.
  • Most current copy of FAFSA form.
  • Letter of recommendation from an instructor, counselor or advisor.

Applications must be received in a 9x12 envelope (please do not fold). No staples or paper clips please.

Please print this form and sign it:

I believe the following statements to be true and accurate. I hereby pledge any Abbott Scholarship monies awarded me to be used strictly for college expenses such as tuition, supplies, room and board.

Signature:______Date:______

To what other non-school related groups do you belong?______

______

State briefly your extracurricular school-related activities:______

______

Name accredited college or university to attendor currently attending:

______Major:______

Address of school:______

Which year will you be attending? (fresh, soph, jr., sr.)______Current GPA:______

Adjusted gross family income report to IRS for previous year:______

Provide an estimate of yearly financial needs:

Tuition: $______Loan: $ ______

Room and Board: $ ______Scholarship: $ ______

Other: $ ______Grants: $ ______

Job: $ ______Other Revenue: $ ______

Grand Total $______

For what career are you planning?______

If undecided, indicate possible choices:______

How many children in your family?______Ages:______

How many children in your family attending college?______

Additional information you wish to be considered?______

Previous Abbott Scholarship Recipient? (years)______or new applicant? (Y/N)______

Abbott Scottish Rite Scholarship aid is a gift, not a loan, and can be based on academic achievement, participation in worthwhile activities, financial need, and self help. Checks will be issued by August 1 to successful applicants drawn payable to the student recipient.