Dominic DiStasi Bursary Application - Grand Orange Lodge of Canada

FOR POST SECONDARY STUDIES

The Grand Orange Lodge of Canada appreciates your interest and this application. Please note that all applications for the current year must be received by October 1st. Adjudication will take place in November of the current year following which applicants will be notified as to the results.

Please complete the following and forward any document to J. Chalmers

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Date of Birth:*

Relatives (if any) in the Orange Association:

Marks percentage obtained in last completed year of above school:

Report Card:

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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:

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