Supreme Council of the Royal Arcanum

Application for Royal Arcanum $500 Grant

Year 2013

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: