CHARITI S OF MARYLAND 
MASONIC SCHOLARSHIP APPLICATION 
Closing Date March 1,2019 
To be completed by applicant and public school official 
To the Applicant: 
Since you will be judged upon the information you furnish in this application, give considerable thought 
to what information is being requested and to the substance of the data you will submit. Provide as much 
information about yourself as may be necessary to complete each section. Remember, the members of the 
Masonic Charities of Maryland, Inc. Selection Committee have not met you and have only this application by 
which to judge you. 
Additional pages of narrative or supporting documentation may be added to any section. This can 
include newspaper clippings, photos, letters of recommendation from persons with your school and/or 
community, and other materials that will give the Committee a better insight about you and your school and 
community activities. You are encouraged to submit copies rather than originals. Any materials you send will 
not be returned to you unless you specify what particular items you wish returned and provide an appropriate 
self-addressed, stamped envelope. 
With the exception of section "I, which must be in your own handwriting, you may type the remaining 
sections of the application. When using pen, be certain handwriting is legible. 
All applications and correspondence should be returned to your principal or guidance counselor by 
March 1, 2019. 
I. 	Identification Data (Please print or type) 
	Applicant's Name: 		______________________   _____________________
		First 	Middle 	Last 
	Applicant's Address: 	________________________________
Street, Box or RFD. Number 

____________________________________________________________________

City 

County 

Zip Code 

Telephone 

Street, Box or R.F.D. Number 

__________________________________________________________________________
City 

County 

- Permission Granted for Duplication - 

Zip Code 

Telephone 

	II. 	Academic Record 
	Grade Point Average __________ 

Rank in Class ____________ 

Number in Class ________ 

	Date When Above Information Was Compiled ________________________________________ 
		Month 	Year 
III. Personal Resume 
You must complete this section in your own handwriting. Write about yourself, your 
home and family interests, future educational and vocational plans, and reason(s) for making 
this application including your need for financial assistance. 

                                                      
                        Date

_____________________________________________________
                       Signature of Applicant 

IV. School Activities 
List those high school activities in which you have participated. Indicate the number of years 
you participated in each of these activities and any leadership roles you had in them. 
V. Community Activities 
Describe your involvement in organizations or activities within your community. Mention ways in 
which you may have been of service to your community in general or to people in your community 
in particular. Indicate any leadership roles you have had in this area. 

~" ---------------------------------------------- 
VI. Evaluation by School Official (Superintendent, Principal or Counselor) 
Provide information, if known, about the applicant relative to the following: 
1.	Personal attributes 
2.	Abilities, talents, and interests 
3.	Scholarship, study habits, and probably success in college or vocational school 
4.	Home and family 
5.	Need for financial assistance 
6.	Any pertinent or unusual factor(s) which should be considered by the Scholarship. 
Selection Committee 
7.	List scholarship awards and/or financial assistance awarded to the student 

___________________________
Date 

______________________________________________________________________________
Signature of School Official 
______________________________________________________________________________
                                                Title