FORT WORTH SCOTTISH RITE FOUNDATION, INC SCHOLARSHIP PROGRAM INTRODUCTION

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FORT WORTH SCOTTISH RITE FOUNDATION, INC. 2017 SCHOLARSHIP PROGRAM INTRODUCTION The Fort Worth Scottish Rite Foundation, Inc. (the Foundation ) is pleased to announce its 2017 Scholarship Program. Fifty (50) scholarships are offered. Each scholarship is One Thousand and Five Hundred Dollars ($1,500) and will be awarded in accordance with the terms and conditions stated herein and the attached sample letter to be sent to the institution chosen. The scholarships honor graduating high school seniors for scholastic, extracurricular and community efforts and dedication. Five of the scholarships are given a preference for students who will be enrolling at a community college for the 2017-18 scholastic year. A community college is a public institution which awards Associate Degrees. An example of such a community college is Tarrant County College. If there are fewer than five acceptable community college applicants, then the remaining preferential scholarships will be distributed to non-community college students. If there are more than five eligible community college applicants, then those not in the top five will be graded with all other scholarship applicants. A successful applicant may use their scholarship proceeds to pursue at a community college either an Associate s Degree or a Certificate of Completion for specialized training. The Fort Worth Scottish Rite Foundation is a Masonic body. The Mission of Scottish Rite of Freemasonry is to improve its members and enhance the communities in which they live by teaching and emulating the principles of Brotherly Love, Tolerance, Charity, and Truth while actively embracing high social, moral, and spiritual values including fellowship, compassion, and dedication to God, family and country. APPLICATION INSTRUCTIONS NOTE: Applicants must comply with these instructions. Applications that do not follow these instructions may not be considered. 1. Answer all questions on pages 3 through 5 of this application. 2. Assemble an Application Package in the following order. (No photos) a. Your completed pages 3 through 5. b. Your high school transcript. c. A copy of your SAT and/or ACT scores results. d. Two personal reference letters for you. (Must be from non-family members) e. Two academic reference letters for you. (Must be from your high school faculty) 3. Mark out all Social Security Numbers on all documents in your Application Package. 4. Remove all application materials from envelopes and folders. 5. Submit the original and three copies of your assembled Application Package. 6. Do not submit application material separately. Incomplete applications may not be considered. 7. Send the Application Package to Fort Worth Scottish Rite Office, P.O. Box 1320 - Fort Worth, TX 76101-1320. 8. Application Packages must be received in the Scottish Rite office or be post marked on or before March 1, 2017. 1 of 6

SCHOLARSHIP CONDITIONS 1. Scholarships will be awarded to high school seniors graduating in the spring and summer of 2017. 2. Only high school seniors who reside in or graduate from a high school in the following counties will be considered: ARCHER BAYLOR BOSQUE BROWN CALLHAN CLAY COLEMAN COMANCHE COOKE DENTON EASTLAND ERATH FOARD HAMILTON HARDEMAN HASKELL HOOD JACK JOHNSON JONES KNOX MONTAGUE PALO PINTO PARKER SHACKELFORD SOMERVELL STEPHENS STONEWALL TARRANT TAYLOR THROCKMORTON WICHITA WILBARGER WISE YOUNG 3. Only one scholarship will be awarded per high school. 4. Each scholarship will be for the sum of $1,500.00 payable at the beginning of the 2017-18 scholastic year to the Financial Affairs Office of the institution designated by the scholarship recipient. The transmittal letter to the academic institution will be in the form attached to this package. The sample transmittal letter contains additional conditions pertaining to these scholarships.. 5. Properly completed Application Packages will be reviewed and graded by the Scholarship Committee of the Fort Worth Scottish Rite Foundation, Inc. 6. Application Packages are reviewed and graded based upon the scholastic, extracurricular and civic efforts and dedication of the applicant. 7. Among factors considered as scholastic efforts and dedication will be SAT and ACT scores, high school transcripts and listing of honors, advanced placement and dual credit courses. 8. The two academic reference letters shall be from the faculty of the high school attended by the student. The letters should address the academic merit of the applicant. 9. The two personal reference letters shall not be from faculty members at the applicant s high school or from members of the applicant s immediate family. 10. Personal and academic reference letters should cite specific achievements and activities. 11. Grading and scoring of completed application packages and the award of scholarships is in the sole discretion of the Fort Worth Scottish Rite Foundation, Inc. 2 of 6

Scholarship Application Application Deadline: March 1, 2017 Return application and all required material to Fort Worth Scottish Rite, P.O. Box 1320 - Fort Worth, TX 76101-1320. Applications must be received in the office or be post marked on or before March 1, 2017. PLEASE PRINT OR TYPE: Name: (First Name) (Middle Name) (Last Name) Address: City: County: State: Zip: Date of Birth: Place of Birth: Male: Female: Email address Phone number ACT Score SAT Score What will be your field of study or college major? What college do you intend to attend? What is the name of the high school you attend and the city it is located? When do you anticipate graduating from high school? Your Father's Name: Your Mother's Name: Have you ever been charged or convicted of a felony? How did you learn about the Fort Worth Scottish Rite Foundation, Inc. Scholarship program? Please write a personal statement of lifetime goals and discuss how you will incorporate your future education into those goals. (Add additional sheets if needed) 3 of 6

Describe your employment history, if any: Describe your extracurricular activities, if any: Describe your civic and religious activities, if any: 4 of 6

Comment on the Mission of Scottish Rite Masonry which appears on page one of this application package. List the honors, advance placement, and dual credit courses for which you have received credit, if any: Do you believe in the inculcation of patriotism, respect for law and order and undying loyalty to the principles of civil liberty exemplified by the Constitution of the United States of America? Yes No I certify that the information that I have given on this application is true and correct to the best of my knowledge on the day of, 20. Signature of Applicant. 5 of 6

Sample Letter to Institution Re: Fort Worth Scottish Rite Foundation, Inc. Scholarship Grant for the 2017-2018 Academic Year Dear Financial Aid Administrator: The enclosed award check is the proceeds of a scholarship awarded by the Fort Worth Scottish Rite Foundation, Inc. ( the Foundation ) to the Student named above who has informed us that he or she will be attending your institution in the 2017-2018 academic year. These funds are to be deposited in the financial aid/scholarship account for that Student. If the Student does not enroll in your institution by the end of the first semester s enrollment period, please immediately return the funds to the Foundation. The scholarship funds should be applied evenly between first and second semesters/quarters of the 2017-18 academic year. If the Student does not need the funds for the first semester/quarter, please use the funds for the second semester/quarter. If the student does not need the funds for the second semester/quarter, the funds may remain in the Student s financial aid/scholarship account until he/she needs them in subsequent semesters/quarters. Should the Student withdraw from your institution with funds from this scholarship remaining in her/his financial aid/scholarship account, then such remaining funds must be returned to the Foundation. The Foundation s scholarship funds are not to be used to displace any of the following aides: Federal grants and scholarships State Sponsored grants and scholarships. Your school's need-based or merit-based grants/scholarships Other private grants and scholarships Work-study The Foundation s scholarship is to be used only for: Tuition Fees Books If these funds cause a student to be over awarded through grants and other scholarships, please return the funds to the Foundation. If the conditions in this letter are not acceptable to your institution, please contact the undersigned before disbursement of these funds. Please direct all correspondence to Fort Worth Scottish Rite Foundation, Inc. at the above address and telephone number. If you have questions or concerns, please contact me at the above office or by email at admin2@fortworthscottishrite.org 6 of 6