<p> Grand Assembly of Massachusetts INTERNATIONAL ORDER OF THE RAINBOW FOR GIRLS</p><p>2017 “revised” SCHOLARSHIP APPLICATION</p><p>Grand Assembly Scholarships are granted on the basis of financial need, academic rigor and Rainbow merit to girls who are entering as freshmen, full time, at a two or more year accredited college. Therefore, a recipient of a Grand Assembly Scholarship who receives a full scholarship from another source is ineligible to accept the Grand Assembly Scholarship. If for any reason there is a change in college after a scholarship has been awarded, the awarding of that scholarship may be reconsidered. Recipients must be present at Grand Assembly to receive their award or the scholarship will be forfeited.</p><p>Please type or print information______Assembly Name Number</p><p>Name ______Birth Date ______Age ____ Tel. ______</p><p>Address ______Street City Zip Code</p><p>Name and Address of High School ______</p><p>High School Honors and Awards ______</p><p>______</p><p>Clubs or Activities (School, Church, Community) ______</p><p>______</p><p>I have been accepted at ______and plan to attend this college/university.</p><p>Address of College ______</p><p>Intended Occupation or Profession ______</p><p>Most Recent Class Rank ______/______SAT Scores ______G.P.A.______</p><p>Estimated Yearly College Expense: Board/Room ______Tuition ______College Fees ______</p><p>Amount to be Contributed for College (2017-2018) from the Following: (A) Saved ______(D) Working ______(B) Parents ______(E) Grants or Work Study ______(C) Scholarships ______(F) Other ______</p><p>Explain Any Unusual Expenses (College or Personal) ______</p><p>______</p><p>1 ______</p><p>Signature of Parent or Guardian ______</p><p>Applicant’s Signature ______</p><p>I certify that ______is an active member in good standing of ______Assembly No. ______and is worthy of consideration. Initiation date____ Signature of Mother Advisor ______Assembly Seal Mother Advisors are to place the Assembly Seal on the application before giving it to the applicant. The Mother Advisor or Advisory Board Member will sign the Merit/Service Checklist and Service/Charity Work Sheet when they have been completed by the applicant and return them to her for mailing to the Chairperson of the Scholarship Committee. </p><p>THE SCHOLARSHIP APPLICANT WILL BE RESPONSIBLE FOR SENDING ALL REQUIRED INFORMATION TO THE CHAIRMAN. NO APPLICATION WILL BE CONSIDERED UNLESS COMPLETE WITH ALL FORMS AND INFORMATION INCLUDING SIGNATURES AND THE ASSEMBLY SEAL POSTMARKED BY April 15, 2017.</p><p>The following must be submitted with this application:</p><p>___ A Personal Letter written by the applicant which includes; aims, goals, and achievements. Remember that neatness, spelling, and grammar are important. Please include any other information which will assist the Grand Assembly Scholarship Committee in its decision.</p><p>___ A copy of 2017 FAFSA (SAR) returned to applicant stating the financial aid awarded. Page one only.</p><p>___ Transcript of the applicant’s grades. (This may be sent directly to the Chairman of the Scholarship Committee by your high school, but must be postmarked by April 15, 2017.)</p><p>____ Current Merit/Service Checklist and Service/Charity Work Sheet w/Mother Advisor or AB signature.</p><p>____ Two Personal letters of Recommendation: (1) from your mother advisor, (1) from another Advisory Board member of your choice from your assembly to support your active membership</p><p>Mail to: Mrs. Daralyn Perry, 40 Beaverbrook Road, Waltham, MA 02452</p><p>APPLICATIONS POSTMARKED AFTER April 15, 2017 WILL NOT BE ACCEPTED.</p><p>Decision and Approval of Scholarship Committee: ______</p><p>2 Date: ______</p><p>3</p>