1. education
2. school

GRAND LODGE
FREE AND ACCEPTED MASONS
OF THE
STATE OF NEW YORK
2015 EDUCATION ASSISTANCE PROGRAM
NEW Online Format
ELIGIBILITY REQUIREMENTS
OFFICIAL RULES - DEADLINE
AND ONLINE APPLICATION LINK
⇒EAPapplication.nymasons.org⇐
Awards will be given to outstanding high school graduates who are pursuing an undergraduate or graduate degree, to
adults who are returning to school for retraining, and to students entering a trade school or other vocational training
programs. Students must attend full time and are eligible to receive assistance a maximum of four (4) times.
Group photographs of recipients may be used for publicity purposes.
CHECKLIST FOR ALL APPLICANTS
SIGNATURES of Lodge Secretary, Master, and LODGE SEAL Required.
Official School Transcript. (Min. GPA 2.75 or 80, including Fall 2014 Semester).
Fully completed ONLINE APPLICATION at: EAPapplication.nymasons.org
Student & Parent most recent 1040 Tax Return. (required)
Enclosed SELF ADDRESSED, STAMPED 4x6” Postcard.
First Class Mail (only) POSTMARK by April 1, 2015
Do not return this page
TO BE ELIGIBLE, THE STUDENT:
Must be a child/grandchild or widow of a Master Mason or deceased Master Mason who is or was in good standing
in a Lodge under the jurisdiction of the Grand Lodge, F. & A.M. of the State of New York.
Must obtain the signatures of Lodge Secretary, Master and Lodge Seal.
Must show academic or vocational achievement in high school and/or at the collegiate level: minimum cumulative
G.P.A. 2.75 (80)* including the Fall 2014 semester.
Must demonstrate financial need. Submit most recent Student & Parent 1040 Tax Return.
Must obtain a school transcript to be provided by the school. *
(Transcript will be accepted directly from the School, you must indicate this on the Application, and may result in
Approval delay)
Must be a full time student (Fall 2014), taking at least 12 undergraduate or 9 graduate credit hours per semester .
* If you are an adult who has been out of school (high school or college) for more than 5 years, the eligibility
requirements marked with an asterisk (*) do not apply.
OFFICIAL RULES:
Only this current application must be used. Follow all directions carefully.
A school transcript must be provided and must show a cumulative GPA of 2.75 (80.0) or better.
All components of the application (e.g., application, school transcript, 1040 Tax Returns) must be submitted in one
package. Must enclose a self-addressed, stamped postcard for acknowledgment of receipt of your application.
Incomplete or late applications or applications not submitted in one package will not be considered.
Applications will be evaluated by an independent scholarship evaluation agency.
Additional consideration will be given to applicants who: demonstrate leadership abilities, participate in community
service work; demonstrate employment experience, participate in extracurricular school activities, or have family
responsibilities.
This award is competitive. It is not an entitlement and is not compensatory. Awards are based upon merit and are
not allocated by Lodge, District, Region, or Area.
Assistance checks will be mailed directly to student’s home upon verification of enrollment as a full time student.
QUESTIONS? Call 516-304-5882 Mon- Fri. 9 -5 Eastern time, or, Email: [email protected]
DEADLINE: Completed application package and Online requirements must be completed and postmarked between
January 1st and April 1, 2015. – No Exceptions.
INSTRUCTIONS: Review requirements above.
ALL applicants must complete Online requirements and Return via Mail, Page 1 of Application with
Signatures and Lodge Seal.
Current or previous years 1040 Tax Return forms of applicant and parent
School transcript*
_________________________________________________________________________________________________
Applications must be Postmarked by April 1, 2015. No exceptions can be made.
Late Postmarks will be rejected. Send via First Class mail only. It’s the postmark that counts!
Do not send: “registered, certified, overnight, FedEx etc.” (This will delay delivery).
_________________________________________________________________________________________________
Send to: Education Assistance Program, 11 Dolphin Green – C2G, Port Washington, NY 11050
2015 GRAND LODGE EDUCATION ASSISTANCE PROGRAM APPLICATION (page 1)
(Please type or print legibly)
____________________________________
_________________________________________
_________________________________________
_______
_______
Last Name
First Name
MI
__________________________________________________________________________________________
Home Address: ( Number)
(Street )
(Apt. Number)
__________________________________________________________________________________________
(City
City )
(State
State)
State
(Z
Zip)
ip
___________________________
__________________________
_____________________
Phone:
Phone (area code) Number
Social Security Number*
(*required*)
Previous Recipient (Yes/No) __________
__________________________
_________________________________
Email address
If Yes list years:___________ __________ __________ __________
Applicant’s date of birth _______________ Other family members applying for this assistance? (List names)_____________________
________________________
_______________________________ ______________
Applicant’s Signature
Date
_________________________________________________________________________________________________
Must be a full time student (taking at least 12 undergraduate or 9 graduate credit hours)
Name of school planning to attend in the fall of 2015 ________________________________________________________
Undergraduate
(Must check one of the above)
Graduate
Re training
Trade school or vocational
Course of study or type of training program: _____________________________________________________
***YOU MUST ATTACH THE MOST RECENT TRANSCRIPT ISSUED BY YOUR SCHOOL***
Transcript must show a cumulative 2.75 (80) G.P.A.or better average / School will send directly: YES or NO
MASONIC AFFILIATION: (required)
Name of relative ________________________________ Check relationship to applicant: father
grandfather
New York State Lodge: _____________________________________ ________
_______________________
Name
Number
District
TO THE MASTER and SECRETARY OF THE LODGE: Please complete the information below to attest that the
Masonically affiliated Brother is or was a Master Mason in good standing in your Lodge.
Name of affiliated Brother: _______________________________________________
_________________________________________________
Master’s signature and Date
________________________________ _________
Lodge Name
Number
Bro.Grand Lodge #: _______________
___________________________________________________
Secretary’s signature and Date
_________________________
District
***Lodge Seal
here***
(Seal must be used)
Send to: Education Assistance Program, 11 Dolphin Green – C2G,
Port Washington, NY 11050
2015 GRAND LODGE EDUCATION ASSISTANCE PROGRAM APPLICATION (page 2)
FINANCIAL NEED – Must Be Completed:
Financial need is a major consideration in the evaluation of your application. Students who cannot show significant need
will not receive assistance. You must attach copies of Pages 1 & 2 (only) of this year’s, or last year’s Federal 1040
or 1040 EZ forms. You must submit forms for both yourself and YOUR PARENTS.
In the space below concisely describe any additional information the rating agency should know that is not indicated on
the 1040 form.
MOST IMPORTANT:
Complete Part 2 of Application Online at:
www.EAPapplication.nymasons.org
(or type into Browser)
- OR Go to Grand Lodge F&AM of the State of New York Website at:
www.NYMasons.org
Search under PROGRAMS / EDUCATIONAL ASSISTANCE
(Link at bottom of page).
- OR Go to Masonic Care Community at:
www.masonichomeny.org
Search under ABOUT US / MASONIC FRATERNITY
EDUCATIONAL ASSISTANCE PROGRAM
(Link at bottom of page).
Send to: Education Assistance Program, 11 Dolphin Green – C2G, Port Washington, NY 11050