Dominic DiStasi Bursary Application - Grand Orange Lodge of Canada

FOR POST SECONDARY STUDIES

Please complete the following and forward any document to the Grand Secretary of Canada

* indicates required field

Date of Birth:*

Relatives (if any) in the Orange Association:

Marks percentage obtained in last completed year of above school:

Report Card:

Acceptable file types: doc,docx,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

Have you been granted any other bursaries:

Yes
No

Bursaries Attachment:

Letter from a member of your church or Clergy supporting your application:

Yes
No

Associated Letter:

Letter (with the seal attached) from a Primary Lodge supporting your application:

Yes
No

Associated Letter:

Letter outlining one way that the Loyal Orange Association has impacted Canada:

Yes
No

Associated Letter:

CAPTCHA Code:*