Scholarship Application Form

Wentzville Lodge #46 AF&AM
Albert H. Miller Memorial Scholarship

602 Meyer Road Wentzville, Missouri 63385

wentz.freemason@gmail.com

facebook.com/wentzville.lodge
Albert H. Miller Memorial Scholarship

Application Deadline - April 15, 2024
Read and follow the instructions carefully prior to submitting your application.
Wentzville Masonic Lodge #46 AF&AM is proud to continue the Albert H. Miller Memorial Scholarship tradition. The scholarship is named in honor of Albert “Sonny” Miller, a Mason for over 60 years. Albert served as part of the Wentzville School District Board of Education from 1973 to 1977. His dedication to education and excellence has impacted countless members of the fraternity and community.

The scholarship is for a 2024 graduate entering a trade or technical school.

The Albert H. Miller Memorial Scholarship for the 2024-2025 school year is $1,500.00
Please ensure proper spelling, capitalization, and punctuation.
The information submitted below will generate all correspondence and award agreements.
I. Personal Data

Tell us about yourself
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Phone Number*
Email *
Where the confirmation will be send to
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
II. Technical or Trade School Information

Information on the school you will attend in the fall term
Name of School*
Address of School *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Financial Aid Office Email
example@example.com
Financial Aid Office Telephone
Please enter a valid phone number.
Major Area or Subject of Study*
What is your career objective?*
Have you submitted an application for admission?*

YesNo
III. High School Information
High School Attended*
Most recent cumulative GPA
Approximate credit hours at graduation
List any High School activities, community activities, volunteer work, honors, and offices held.
IV. ACT or SAT Information
Attach and submit your ACT or SAT results.
Note: test scores or results are not a primary factor in the selection of recipient.
All scholarship applicants reporting an ACT or SAT score will be asked to provide official verification.

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V. Extras
Please note if you are awarded a scholarship based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.
Are you member of a Masonic youth service organization (IORG, Job's Daughters, or DeMolay)?

YesNo
Are you aware of any family member or close acquaintance associated with Freemasonry?

YesNo
Name
Relationship to Applicant
List any extracurricular non-school activities, awards, offices held, and honors.
Are you currently employed

YesNo
Employer
Position
Number of Years Employed
Do you plan to working while attending (School Name)?

YesNo
If so, will you work

Full-timePart-time
VI. Essay
Describe how you have demonstrated Leadership Skills *
Describe your Community Service activities*
List any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.*
Essay topic: About me

Your essay should be 300-500 words. You should address the following in your essay:
Explain why you have chosen your career path, your education goals and choice of major, and what you intend to do with your education.
Essay*

0/500
VII. References
Please submit 2 Letters of Reference that can speak to your
- Character
- Commitment
- Career Readiness
Letters of Reference:*

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VIII. Applicant's E-Signature
By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Signature*

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Albert H. Miller Memorial Scholarship

I. Personal Data

II. Technical or Trade School Information

III. High School Information

IV. ACT or SAT Information

V. Extras

VI. Essay

VII. References

VIII. Applicant's E-Signature