Application for Royal Arcanum $500 Grant
Year 2013
- Please print all information
- Please complete every blank
Name in full
Last
First
Middle
Gender
Address
Street
City or Town
State or Province
ZIP Code
Contact Information
Telephone Number 
Email
Certificate number
 
Your Council
Name
Number
State or Province
Member Since
Date joined
Age
Date of Birth
College/University/Trade School Attending
Name
Address
Applicant Signature
IMPORTANT - APPLICATION MUST BE RECEIVED ON or BEFORE DECEMBER 31,2012
Mail to: College Grant, Royal Arcanum, 61 Batterymarch St., Boston, MA 02110
$500 Grant
Four $500 Grants are awarded annually to high school seniors by random drawing
Grant to be used for tuition and books only.
To qualify, applicants must:
- Be a Royal Arcanum member in good standing.
- Be a high school senior who will graduate in the year 2012
- Have not been awarded a Royal Arcanum Competitive Scholarship.
- Enroll in and attend a college, university, trade school or other institution of higher learning in 2013.
Toll free • 888-ARCANUM (888-272-2686)
617-426-4135
FAX • 617-426-2322
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Supreme Council of the Royal Arcanum
61 Batterymarch Street
Boston, MA 02110-3208
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