Joseph N. Culver Foundation of New Jersey, Inc.

315 White Horse Pike, West Collingswood, NJ 08107-1907, (856) 854-1991, Fax (856) 854-2069

THE CULVER FOUNDATION SCHOLARSHIP

Believing that the future of our nation and its progress depends upon educated young people, and their preparation to meet the challenges of the future and to solve the problems of their citizenry, and to perpetuate the ideals of life, liberty, and the pursuit of happiness; the Joseph N. Culver Foundation of New Jersey, Inc. (formerly the DeMolay Foundation of New Jersey) has established scholarship awards for young persons.

ELIGIBILITY

Undergraduate scholarships will be awarded to young persons who have satisfactorily completed the requirements for high school graduation, who have been accepted in an accredited college or university, who have not yet reached the age of twenty-one or who, if the applicant has worked for one year following high school graduation, has applied for this scholarship prior to his/her twenty-first birthday.

The committee will consider the applicant’s academic achievement, financial need, character, and service to others, in awarding scholarships. A transcript of the applicant’s high school record is required and must be included with the application. All questions on the application MUST be completed.

Students who receive the award must maintain a minimum 2.0 grade point average to continue the award. A yearly transcript of their college records will be ordered by the student and sent to this foundation at the student’s expense.

AWARD

A scholarship award of $1,500 or more for each year of successful advancement in an under-graduate college or university, not to exceed a total of four years, will be paid directly to the accredited institution of choice for the tuition charged by that institution. (Awards for graduate studies may be granted under certain, unusual circumstances.)

APPLICATION FOR CULVER FOUNDATION SCHOLARSHIP

Name:______

LastFirstMiddle

Mailing Address: ______

Town: ______State: ______Zip Code: ______

Phone: ______Date of Birth: ______

Are you a DeMolay? ______Are you in Rainbow? _____Chapter Name: ______

List DeMolay/Rainbow Honors or Offices Held: ______

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Father’s Name: ______Living _____ Deceased _____

Father’s Occupation: ______Salary ______

Mother’s Name: ______Living _____ Deceased ______

Mother’s Occupation: ______Salary ______

Is your Father a Master Mason? _____

Name, Number, and location of his Lodge: ______

Is your Grandfather a Master Mason? _____ Name: ______

Name, Number, and Location of his Lodge: ______

Number of other children in your family: _____ Their ages: ______

Number presently in College: _____

Name of your High School: ______

Location (Name of Town/City): ______

A transcript of your secondary school records, indicating your current GPA, Class Standing, SAT Scores and Year of Graduation MUST accompany this application.

List any offices you have held in school organizations: ______

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List any Scholastic, Literary, or Scientific Honors or Awards: ______

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List any Athletics you participated in: ______

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List any other Organizations (including spiritual and/or non-profit) you have belonged to: ______

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List any other Special Activities you have participated in: ______

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Names of Colleges/Universities where you have been accepted: ______

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Names of other Colleges/Universities to which you have applied: ______

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What is your anticipated College Major? ______

What were your Gross Earnings in the past year? ______

How did you earn this money? (indicate summer or part time jobs) ______

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Indicate by $ amount or % how you expect to fund your College Tuition (outside of this scholarship) from the following:

From Personal Savings ______From Family Assistance ______

From Working While at College ______From School/Federal/State Aid ______

Have you been awarded any other scholarships? _____ Describe: ______

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Please list any additional information that you feel will be helpful. You may include a short

personal biography: ______

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Have you also applied for the “Joseph N. Culver DeMolay Scholarship” sponsored by the Masonic Charity Foundation of New Jersey? (located at 902 Jacksonville Road, Burlington, NJ08016)

Yes _____ No _____

It is unrelated to this scholarship, and you must apply for it separately.

Personal References (Please list name and complete address or phone number)

1. ______

2. ______

I hereby certify that I have read the purpose, eligibility requirements, and conditions of this scholarship award, and that I will abide by the decisions of the Scholarship Committee.

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Signature

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Date Signed

Deadline to return completed application is April 1st.

Please return completed application to:

The Joseph N. Culver Foundation of NJ, Inc.

315 White Horse Pike

West Collingswood, NJ08107-1907

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