Ancient Egyptian Arabic Order, Nobles of the Mystic Shrine of North and South America and its Jurisdictions, Inc. (A.E.A.O.N.M.S.)
John C. McDougal
Memorial Scholarship Application - due May 9, 2025
Applicant Information
Name
First Name
Last Name
Suffix
DOB
-
Month
-
Day
Year
Date
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number
-
Area Code
Phone Number
Upload head shot:
Browse Files
As the parent/guardian of the applicant, I hereby grant MISR Temple No. 213 the unrestricted right and permission to use and re-use my child’s name and likeness in any and all publications, including photograph, television broadcast, video recording, internet sites, audio-recording or any other form of electronic or print communication (the promotional materials), for its own purposes without payment or any other consideration to me or my child, in perpetuity. I understand and agree that any material produced using my child’s likeness is the property of MISR Temple No. 213. *Please note, if a photo release is not provided, the recipient cannot be photographed in group pictures. The pictures can be published.
Cancel
of
Parent Signature
Parent Name and Date
High School Information
Name of School
School Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Counselor Name
First Name
Last Name
Expected Graduation Date
-
Month
-
Day
Year
Date
Cumulative GPA
Upload Transcript
Browse Files
Cancel
of
Recommendation Letter
Browse Files
Cancel
of
Parent/Legal Guardian Information
Parent Name
First Name
Last Name
Parent Mobile Number
-
Area Code
Phone Number
Parent Email
example@example.com
Is any member of your family a member of Misr Temple #213 or Misr Court #193?
Please Select
Yes
No
If yes, what is their name?
College Intent
Intended Major(s)
First Choice College
Admitted?
Please Select
Yes
No
Upload acceptance letter
Browse Files
Cancel
of
Second Choice College
Admitted?
Please Select
Yes
No
Upload acceptance letter
Browse Files
Cancel
of
Upload Brag Sheet/Resume
Browse Files
Include academic and other awards, extracurricular activities, and community service activities since grade 9.
Cancel
of
Applicant Signature
Applicant (Print Name)
Parent Signature
Parent/Guardian (Print Name)
Save
Submit
Submit
Should be Empty: