KNIGHTS OF COLUMBUS Council No. 11759 2016 Scholarship Application Form



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KNIGHTS OF COLUMBUS 2016 Scholarship Application Form Saint Joseph Catholic Church Bryan, Texas 77803 Church Office: (979) 822-2721 FOR USE IN THE 2014-2016 ACADEMIC YEAR ONLY! DEADLINE IS MONDAY -- MARCH 7, 2016 Note: The information included in this application will only be used by the Scholarship Committee. After scholarships have been awarded, applications will be destroyed. I. ELIGIBILITY To be eligible any graduating high school senior must have been accepted by an accredited university, college, or trade school as a full-time student and meet at least one of the following additional qualifications. Be either A member of Saint Joseph Parish Or the child or grandchild of a member of Council 11759 in good standing without regard to residence Or the child or grandchild of a deceased member of Council 11759 who was in good standing at the time of his death without regard to residence II. SELECTION CRITERIA Applicants for a Knights of Columbus Scholarship shall be judged on the basis of financial need, academic achievement, academic potential, academic honors, and extra-curricular activities (School, Community, and Church.)

III. APPLICATION AND DOCUMENTATION (NOTE: The applicant may attach additional pages for each of the items requested in the application) To be considered for a scholarship, a graduating high school senior must: 1. Complete the current (2016) prescribed application, answering all questions. 2. Attach a certified transcript of his or her high school grades. 3. Include a copy of a letter of acceptance from the trade school, college, or university. If an acceptance letter is not available at the time of application, the Council must receive a copy of the letter of acceptance before making an award. 4. All documentation must reach the Committee not later than the announced deadline for application. Each applicant is responsible to see that the application reaches the Church Office by the deadline. There will be no exceptions! IV. RETURN ALL APPLICATIONS TO: Chairman of Scholarship Committee Knights of Columbus Council # 11759 Bryan, Texas 77803 V. DEADLINE FOR FILING APPLICATIONS IS: MONDAY, MARCH 7, 2016. Any application postmarked after this date will not be considered. All information received by this Committee will be kept in strict confidence and retained by the Committee. Each applicant is responsible for submitting the application to the Church Office by the deadline. There will be no exceptions! VI. CONTACT: For questions or additional information concerning this scholarship program contact Charles E. Gilliland at (979) 845-2080.

KNIGHTS OF COLUMBUS 2016 Scholarship Application Form Saint Joseph Catholic Church Bryan, Texas 77803 Official 2016 College Scholarship Application (Applicants must use this application for 2016 only) 1. PERSONAL INFORMATION NAME ADDRESS CITY ZIP PHONE NUMBER HIGH SCHOOL MEMBER OF THE SAINT JOSEPH PARISH? (YES/NO) 2. FAMILY INFORMATION FATHER'S NAME LIVING (YES/NO) FATHER'S OCCUPATION EMPLOYER FATHER/GRANDFATHER MEMBER OF THE ST. JOSEPH KNIGHTS OF COLUMBUS, COUNCIL 11759 (Y/N) IF YES, GRANDFATHER S NAME MOTHER'S NAME LIVING (YES/NO) MOTHER'S OCCUPATION EMPLOYER 2016 Application - Page 1 of 7

OTHER PARENTS DEPENDENTS LIVING AT HOME OR AT SCHOOL (Attach separate sheet if needed) RELATIONSHIP TO SCHOOL OR NAME AGE APPLICANT OCCUPATION 3. FINANCIAL SUPPORT (attach a separate sheet if needed) SPECIAL CIRCUMSTANCES: (Briefly describe conditions contributing to special financial needs.) 2016 Application - Page 2 of 7

OTHER SOURCES OF COLLEGE FUNDS AMOUNT SOURCE* TYPE** * e.g. a college, a private foundation, Federal government, state government ** e.g. scholarship, grant, guaranteed student loan, etc. 4. HIGH SCHOOL ACADEMIC ACHIEVEMENT (attach a separate sheet if needed) CURRENT GRADE POINT AVERAGE (actual GPA not transcript estimate: SAT/ACT SCORES: SAT: Total Critical reading Mathematics Writing ACT: Total ACADEMIC HONORS* *e.g. National Honor Society, National Merit Scholar, Finalist/Semifinalist, Class Valedictorian, other special honors or recognition for academic achievement. List each separately and indicate year(s) that apply. 2016 Application - Page 3 of 7

5. HIGH SCHOOL ACTIVITIES (attach a separate sheet if needed) List all academic, social, athletic, and service activities that you participated in during high school. Evaluation of applications carefully considers all of your activities. Therefore, be sure to identify each activity separately (for example: Language Club, Band, School Paper, Yearbook, etc.). Then identify each year of participation (for example, [1, 3 & 4] for freshman, junior, and senior year participation). Further, identify any formal office that you may have held in relation to these activities. Specify any particular projects or activities that you led or directed, while a member or officer. 2016 Application - Page 4 of 7

6. COMMUNITY ACTIVITIES (attach a separate sheet if needed) List all social or other types of activities that you participated in during your high school years for your community. Identify each activity separately (for example: Habitat for Humanity, Interact Club, etc.). Then identify each year of participation (for example, [1, 3 & 4] for freshman, junior, and senior year participation). Further, identify any formal office that you may have held in relation to these activities. Specify any particular projects or activities that you led or directed, while a member or officer. 7. FAITH BASED ACTIVITIES (attach a separate sheet if needed) In this section, describe all activities that you participated in during your high school years involving any faith based activity. Identify each separate activity and each year of participation. For example: KEYSIS (1, 3 & 4), volunteer efforts through Church (1 & 2), any specific projects or activities that you might have led or directed. Specify each year that you participated. 2016 Application - Page 5 of 7

8. PERSONAL GOALS (attach a separate sheet) Please write and attach an essay of no more than 500 words describing your personal goals as you understand how trade school, college, or university will aid you to achieve your objectives. Briefly include a description of the personal characteristics or family situations that make you particularly suited to accomplish these aims. 9. OTHER INFORMATION (attach separate sheets if needed) Include any other information you feel will aid the Committee in making a selection. (Letters of recommendation are not required, but may be submitted.) Did you work for pay during your high school career (YES/NO) If YES, which years did you work? (Check all that apply) Freshman Sophomore Junior Senior If YES, list type of work. Paid (YES/NO) Number of hours worked per week during academic year Number of hours worked per week during summer If you changed jobs, attach a separate listing showing the year, type of work and hours for each different job. 2016 Application - Page 6 of 7

10. PREFERRED COLLEGE, UNIVERSITY, OR TRADE SCHOOL In this section, indicate the institution that you plan to attend in the fall. Scholarship funds will be sent to the institution indicated below. INSTITUTION (If known, please include financial assistance office contact information) SIGNATURE DATE REMEMBER TO INCLUDE: - COMPLETED APPLICATION - TRANSCRIPT - PERSONAL GOALS ESSAY - LETTER(S) OF ACCEPTANCE FROM UNIVERSITIES, COLLEGES OR TRADE SCHOOLS MAIL TO: Chairman Scholarship Committee Knights of Columbus -- Bryan, Texas 77801 OR DELIVER TO: Chairman Scholarship Committee Knights of Columbus -- At the St. Joseph Church Office Bryan, Texas 77801 Note: The information included in this application will only be used by the Scholarship Committee. After scholarships have been awarded, applications will be destroyed. 2016 Application - Page 7 of 7