APPLICATION FOR

SKJOLD LODGE $500 SCHOLARSHIP

FOR SCHOOL YEAR 2008-2009

SKJOLD SCHOLARSHIP FUND

 

 

NAME:_________________________________________________________________________

                            Last                                         First                                   Middle

 

 

ADDRESS:______________________________________________________________________

 

CITY/STATE/ZIP:_________________________________________________________________

 

PHONE:______________________________ DATE OF BIRTH:___________________________

 

NAME OF SKJOLD LODGE/SONS OF NORWAY SPONSOR (if other than self):

 

_____________________________________________________________­­____________________

 

NAME OF CURRENT HIGH SCHOOL OR COLLEGE____________________________________

 

GRADE POINT AVERAGE:________ EXPECTED GRADUATION DATE

 

                 *FROM HIGH SCHOOL:_______________       *FROM COLLEGE:__________________

 

NAME AND ADDRESS OF COLLEGE OR TRADE SCHOOL YOU PLAN TO ATTEND:

 

 

 

*NOTE: THE SCHOLARSHIP CHECK WILL BE ISSUED TO THE SCHOOL WHERE YOU HAVE BEEN ACCEPTED.  ONLY ONE SCHOLARSHIP WILL BE AWARDED TO ANY ONE APPLICANT IN THE SAME FAMILY FOR THE SAME SCHOOL YEAR.

 

*INCLUDE PROOF OF ACCEPTANCE TO YOUR SCHOOL ON A FULL TIME BASIS FOR THE FALL OR MID-TERM.

 

*INCLUDE AN ESSAY (200-500) WORDS.  TELL ABOUT YOUR GOALS, ACTIVITIES, THE IMPORTANCE OF YOUR NORWEGIAN HERITAGE, AND WHY YOU FEEL YOU SHOULD RECEIVE THIS SCHOLARSHIP.

 

 

DATE:______________  SIGNATURE:____________________________________

 

 

Date and sign this form and mail it with proof of acceptance to your school, and your essay to: (DEADLINE: MAY 1, 2008)

Mr. Michael A. Hanson Foundation Director 16 South Regency Court East Arlington Heights, Illinois 60004

 

www.skjoldlodge.com web form: “frm_schol.htm”

March 2008 Version