INTERNATIONAL ORDER OF RAINBOW FOR GIRLS
GRAND ASSEMBLY OF KENTUCKY
W. MARK SEXSON MEMORIAL SCHOLARSHIP FUND
INITIAL SCHOLARSHIP APPLICATION
Name: ________________________________________________________________
Last First Middle
Home Address:_________________________________________________________
Street and Number City State Zip
School Address: ________________________________________________________
Street & Number City State Zip
Date of Birth: _____/_____/____
Month/ Day / Year
High School from which you graduated:
______________________________________________________________________
Name Location Year
Colleges which you have attended and degrees earned:
______________________________________________________________________
Name Location Year
______________________________________________________________________
Name Location Year
What college do you intend to attend this fall?
______________________________________________________________________
Name Location
What degree are you pursuing? ___________________________________________
What other scholarships/assistance have you received?
____________________________________________________________________________ _
____________________________________________________________________________ _
____________________________________________________________________________ _
Of what Church are you a member?
____________________________________________________________________________ _
Name Denomination Location
Name and address of Pastor:
______________________________________________________________________
What Rainbow Activities have you been involved in?
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How many petitions for membership have you sponsored in the last calendar year: ____
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What civic Activities have you been or are you involved in?
____________________________________________________________________________ _
____________________________________________________________________________ _
____________________________________________________________________________ _
What Eastern Star or Masonic ties do you have, if any?
____________________________________________________________________________ _
____________________________________________________________________________ _
Are you Married? _______ Do you have children? ________ How Many? ______
How long have you been a member in good standing of Kentucky Rainbow? ________
Has your Assembly contributed to the Scholarship Fund within the last year? ________
Have you included:
_______ Three letters of recommendation from any of the following:
1. Minister of the applicant.
2 Some professor, teacher, principal or dean of a school where the applicant has attended.
3 Some business or professional person who has had significant contact with the applicant.
_______ Request letter stating the applicant’s reasons for applying.
_______ Current transcript verifying at least a 2.5 cumulative GPA.
_______ Recent photograph.
I, _______________________, am the Mother Advisor of ________________Assembly # _____, the home assembly of the applicant. I am signing to verify that she has been a member in good standing of Kentucky Rainbow for at least three years, has participated in the activities in Rainbow as stated above, has sponsored the petitions as stated above, and to verify that our assembly has donated to the scholarship fund within the last year.
_____________________________________
Mother Advisor of_______________Assembly
Return this application to:
Georgia McDaniel, PGWA
5007 Carlson Lane
Louisville, KY 40241
Questions? (502) 376-4245
georgiamcdaniel@insightbb.com