High School Scholarship

SCHOLARSHIP APPLICATION

Knights of Columbus Council 8334

Kansas City Area Catholic High Schools

Application must be postmarked by March 31

Applicant Full Name:                                                                                                                                 Last                                               First                                         Middle

Home Address:

Number and Street                                City/Town                     State                   Zip

Applicant or Parent-Guardian E-Mail Address:                          _________________________

Name of Knights of Columbus Council 8334 relative:

Father____________________________    or     Grandfather________________________

Student/Parent E-Mail:                                                                  

Applicant's Signature:                                                                        _

Have you been accepted?      Yes    No

I plan to enroll as a:

          Freshman                     Sophomore                  Junior              Senior 

List, on this page, significant academic/social activities and/or offices held, honors, etc:

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

In what out-of-school (Church, Scouts, etc.) activities have you participated? 

List on this page.

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Write a personal statement in which you tell the scholarship committee about yourself.  Use the following questions as a guideline to assist you in writing your statement.  Statements must be typed, double-spaced, and not to exceed three pages.

What do you do in your daily life that conveys your Catholic beliefs? 

What are you doing to show that you are living by your Catholic teaching?   Explain How have you contributed to your community in the areas of service and/or leadership?  Describe any factors or events in your life that have influenced your decision to attend college.  Who has inspired you?  What academic achievements are you proud of?  What are your career and/or educational goals?

APPLICANT'S FINANCIAL STATEMENT

Family Name Parent-Guardian:                               ___________________________

The following information is submitted for confidential use by the selection committee in determining need.  Indicate your annual family income (adjusted gross, for tax purposes).

      Less than $40,000         $40,000 to $85,000         $85,000 to $125,000     _$125,000+

 Number of people in family supported / living at home counting yourself.  Please include parents ______

State any conditions or physical handicaps involving expenses or possible hardships which the selection committee should take into consideration.

Knights of Columbus Council 8334 Scholarship Information

EDUCATIONAL CERTIFICATION

This form is to be completed by an authorized Institutional Representative. A copy of the student transcript is required. For students currently enrolled, a grade statement with statement of current status as a full-time student in good standing.

Student _____________________________________    currently attends:

School:

Address

City                                                                                                    State               Zip

Phone ____ ___________________                   Email _________________________________

Student's G.P.A.                     (Grade scale being used to classify_                      )

To the best of my knowledge, the statements made by the student on this scholarship application are correct.

Print Name __________________________________ Title ___________________________

Signature    __________________________________   Date______________

Student's permission to release information:

Print Name                                                      Sign                                                                                  Date

Please mail or email this form AND a copy of the student's transcript to:

SCHOLARSHIP CHAIRMAN

Knights of Columbus 8334

1800 SW Missouri Route 150

Lee’s Summit, MO 64082

or

KofC8334@gmail.com

Knights of Columbus Scholarship Information

COUNCIL CERTIFICATION

Father/Grandfather _____________________________ is a member of Council 8334 in good standing.

Signed                                                                                                                

Grand Knight

THIS FORM MUST BE RECEIVED via email, USPS Postmark or Holy Spirit Parish Knights of Columbus Mail box by March 31.

NO EXCEPTIONS.  

IT IS BEST TO INCLUDE IT WITH THE APPLICATION IN THE SAME ENVELOPE