Thank you for your interest in a scholarship from the Benevolent and Protective Order of Elks.
Please fill out the form below. It will be submitted to the Scholarship Committee for review.

General Information


Academic Information

Special Honors/Awards in school

Special Honors/Awards in community

Participation in school activities

Participation in community activities

Additional Information

Ready to submit. Please click “Submit”.
Your form will be emailed to the Elks Scholarship Committee and stored in a save location.
Thank you!