MVS Scholarship - created by phpFormGenerator

MVS Scholarship

MVS Scholarship "Volunteer Hours, Mileage and Lodge Winners" Report.

Date of Report: * Please use the calendar provided to enter the date of the report.
Lodge: * Please select your Lodge.
Lodge Committee Chairperson: * Please enter the first and last name (in that order) of your Lodge's Chairperson.
Lodge Committee Chairperson E-mail Address: * Please enter the e-mail address where you would like your copy of this report sent. This can be your Lodges or your personal email address.

Number of Elks: *

Please enter the number of Elks envolved with the event.

Number of Elk Hours: *

Please enter the number hours volunteered by Elks.

Number of Elk Miles Traveled: *

Please enter the total mile traveled by Elks.

Total Male Applications Received: *

Please enter the total number of male scholarship applications received.

Top Male Score: *

Please enter the first and last name (in that order) of top male applicant.

Second Top Male Score: *

Please enter the first and last name (in that order) of second place male applicant.

Third Top Male Score: *

Please enter the first and last name (in that order) of third place male applicnt.

Number of Non-Elks: *

Please enter the number of Non-Elks envolved with the event.

Number of Non-Elk Hours: *

Please enter the number hours volunteered by Non-Elks.

Number of Non-Elk Miles Traveled: *

Please enter the total mile traveled by Non-Elks.

Total Female Applications Received: *

Please enter the total number of female scholarship applications received.

Top Female Score: *

Please enter the first and last name (in that order) of top female applicant.

Second Top Female Score: *

Please enter the first and last name (in that order) of second place female applicant.

Third Top Female Score: *

Please enter the first and last name (in that order) of third place female applicnt.

Comments: * Please type in your comments - be specific. Tell us about any special activities your Lodge held to raise public awareness to your area of responsibility.

Type the following: For security purposes, please type the letters in the image.