Name in Full

Name in full ……………………………………………………………………………..Age…………...

S.I.N……………………… Address …………………………………………………………..………….

City/Town………………………………………………………………… Postal Code…………………..

Contact tele # - day……………… night……………… cell……………… email address……….………

College/University…………………………Address………………………………………………….…….

Postal Code…………….Student No………………………Area of Study ………………………..……….

Years study completed……...... Undergraduate or Postgraduate degree? ......

Applicant’s Royal Arch Masonic Connection, i.e. Father/Grandfather…………………..

Name……………………………………Chapter……………………………………No…………...………

Address or deceased? …………………………………………………………………………………

(Preferably a letter should be attached from the Chapter confirming that the above person is/was a RA Mason)

Applicant’s Summer Work, Interests, Hobbies ……………………………………………………………

………………………………………………………………………………………………………………

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Applicant’s approximate expenses for the coming year:

Tuition ……………………………………….Books, Fees, Dues, Etc. ……………………………………

Living costs…………………………………..Transportation ……………………………………………...

Other costs/details…………………………………………………………………………………………

Total costs …………………………………………………………………………………………………..

How do you expect to pay for the above?

Your savings …………………………………… Parental Financing ……………………………………..

Other Family Financing…………………………Student Loans …………………………………………..

Have you applied for a Bursary from the Grand Lodge of BC/Yukon? ……………………………………

Scholarships, Bursaries from other sources ………………………………………………………………..

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Other funding details ………………………………………………………………………………………..

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ABOUT YOUR PARENTS AND THOSE GIVING YOU FINANCIAL SUPPORT

FATHER’S OCCUPATION ……………………………………. 2017 Gross Income…………………….

MOTHER’S OCCUPATION …………………………………… 2017 Gross Income…………………….

OTHER ……………………………………………………………………………………………………...

(Specify details)

Are there any special circumstances, economic, physical, etc., that may enhance your application when it is reviewed?

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Please Note: Bursaries are available to children and grandchildren of Royal Arch Masons of British Columbia and Yukon. They are awarded on the basis of economic need to the limit of available funds for post-secondary education at CanadianUniversities and recognized British ColumbiaColleges and Technical Institutes. A bursary will not be granted if the Grand Lodge of BC & Yukon has offered one in the same year nor for post-graduate studies.

Incomplete applications and applications received after the 15th OF JUNE, 2018 will not be considered.

Applications are to be submitted through to:

Grand Chapter Royal Arch Masons of

British ColumbiaYukon

5561 Turner Road

Nanaimo, B.C. V9T 6B3

e-mail:

Telephone: 250-729-0190

If there is insufficient space in any of the above, we encourage you to attach an additional sheet(s) or letters of recommendation that may enhance your application to the Review Trustees