Lodges $ for $ (ID #983)
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Lodge Name & Number
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Which Lodges name and its number issued by Grand Lodge SA & NT that this form is being submitted to be matched dollar for dollar as a request?
Name of Lodge Member Point of Contact
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Provide the name of the Lodge member completing the application.
Lodge Contact Best Number
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Provide the best contact number for the Lodge member completing the application.
Email of Lodge Member
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A email is required to submit the application this can be the lodges email or a personal email.
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1. Your application must contain full details of your proposal including all of the following:
1. is the applicant an individual or business seeking this scholarship? Select one of the options.
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Individual
Business
Name of the Applicant
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Who is the applicant you have raised funds for matching
Applicant Point of Contact Number
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Provide the best contact number for the applicant.
Applicant Email Address
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Provide the best contact email for the applicant.
Total cost for the project?
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How much is required for the project to go ahead or in the event it is towards a project estimate the total amount of the project.
Lodge contribution towards the project?
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The total amount the lodge has raised towards the project to matched by the initiative.
Amount sought from Dollar for Dollar matching?
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The total amount sought on application from the initiative dollar for dollar matching.
Date application was received by lodge
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Provide when the applicant approached the lodge vice-versa.
1.3 - Has the application been approved by the lodge executive
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Click or drag files to this area to upload.
You can upload up to 3 files.
Upload a copy of the minutes from the lodge demonstrating that it has been approved by the lodge executive.
What date was the date of approval by the lodge executive?
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The date the lodge approved the applicant.
Provide a minumum of 200 words as to the project the link with your lodge and any other information to support your application
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FOUNDATION QUESTIONS
Is your lodge a member of the Freemasons Foundation?
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Yes
No
What class of membership does your lodge hold with the Freemasons Foudation?
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Patron
Governor
Fellow
Ordinary
Do not know
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Terms and Conditions:
(a) That all data provided is true and accurate.
(b) The value of contribution shall be determined advisory committee who will consider
- The way in which and the extent to which the endeavour is likely to benefit the applicant and the lodge.
- How the project aligns to the aims and tenants of Freemasonry in South Australian and the Northern Territory.
(c) That there is no guarantee to matching of funds and that no promises or representations of such nature will be provided to the applicant.
Date
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The date of completing this application for submission.
Signature
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Please write the name of person submitting the application
Submit