Fraternal Order Of Eagles #3531

Bud Israels Scholarship Form

Thank you for expressing interest in our scholarship program. As part of our policy, we request that you complete
the following information. Once your application is received, our scholarship committee will review your
application for scholarship consideration.

Contact Information
First Name Last Name Initial
Home Phone Cell Phone
Email Address
Mailing Address
City State Zip
Member Name Relationship Years a Member
Education Information
Name of High School
City State
Year of High School graduation/Copy of Document GPA ACT Score
College you plan to attend
City State
Area of study/Pursuit of what degree?

Please explain how you plan to use your degree to give back to the community (400 words or less)

What other scholarships have you qualified for?

Please provide 2 written academic references and 1 personal reference

Name Phone
Relationship Alternate phone
Name Phone
Relationship Alternate phone
Name Phone
Relationship Alternate phone
All applications must be received no later than May 31st of each year. Please send your application to Attn: Scholarship
Committee, Fraternal Order of Eagles #3531, 11611 Shaver Road, Schoolcraft MI 49087