Schaffner Masonic Schlolarship Foundation





First name         ______________________



Last name          ______________________



Address city/state/zip ____________________________________



Email              ________________________



Phone #            _________________________



Date of birth      __________________________



High School Attended __________________________



High School or college GPA  _____________



High School Phone#   ________________



College Attending   ______________________



Goal ( Degree or Certification)  _______________________



The Scholarship Award is $1000.00. This award may be used for a four year college, community or junior college, or any vocational training program.

If selected for this scholarship, applicants may apply to renew 1 time by submitting a new application and proof of sucess in the program they are enrolled.



Please attach 2 reference letters: 1 from a teacher or guidance counselor and 1 from a friend or mentor.



Please mail this completed form and 2 letters of reference to Ken Slavens at 8533 Baldwin Road , Sparta Il.62286 no later than April 1 2023.