Anticipated Graduation Date:

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1 2019 Scholarship Application Please read all sections completely and answer all questions thoroughly. Remember that each section is scored according to the scholarship you are applying for. Do not leave any sections blank. Information should only reflect high school years and experience. Application Deadline is April 1, SECTION 1 - GENERAL INFORMATION Name: Address: City: Zip: Phone: Age: Gender: (Circle One:) M or F Parent's Full Names: Father: Mother: Parent's Address: Student's Address: School: Anticipated Graduation Date: Is your family registered in the St. Francis of Assisi Catholic Church? YES NO Envelope #: Transcript OR Copy of Transcript Attached: (Circle One): YES NO SECTION 2 - CERTIFICATION Please read the following statement and indicate that you agree by signing below: I certify that all of the information that I have given in or with this application is complete and accurate to the best of my knowledge. Signature: Date: Note: The application is considered incomplete if the certification section in not signed and a transcript or copy of transcript must be attached. Page 1 of 9

2 SECTION 3 - SCHOOL INFORMATION AND CAREER GOALS What high school will you graduate from? What is your current GPA? Non-Weighted Scale Weighted Scale What is your class rank? out of (how many) SAT Score: Total Math: Verbal: Writing: ACT Score: Please list colleges to which you have applied and indicate whether you have been accepted. Colleges Applied To: Accepted (Yes/No/Unknown) If more, please continue on additional page. What are your plans for college? (e.g., attend a four-year college or university, attend a community college and then transfer, attend a trade school) What major or field of study do you intend to pursue? Briefly describe your career goals or dreams: Page 2 of 9

3 SECTION 4 - CHURCH ACTIVITIES List your involvement with the church including: attending Faith Formation, EM/Usher service, Choir, etc. Also describe missions and retreats attended and any other activity of a spiritual nature. DO NOT LIST: "Attending Mass". Please continue on additional page if necessary. Have you been confirmed in the Catholic Church? Yes No ACTIVITY DESCRIBE INVOLVEMENT CONTACT NAME/NUMBER Page 3 of 9

4 SECTION 5 - COMMUNITY SERVICE List any service projects of more than one hour of total effort. Service generally is work that benefits someone other than the group providing the work. Please list any and all service you provided for others either as an individual or with a group. Please do not duplicate information from Section 4. Please continue on additional page if necessary. Does your school require service hours? Yes No If yes, how many hours per year? WHO/WHAT ORGANIZATION BENEFITTED? DESCRIBE INVOLVEMENT CONTACT NAME/NUMBER Page 4 of 9

5 SECTION 6 - EXTRA CURRICULARS/MEMBERSHIPS List all organizations of which you are/were a member and participated in on a regular basis. For any club or group that is not well known, please provide a brief description of it purpose. Be sure to include all activities such as school plays, band, athletic and non-school activities. Please continue on additional page if necessary. ACTIVITY/ORGANIZATION CONTACT NAME/NUMBER Page 5 of 9

6 SECTION 7 - WORK EXPERIENCE List any and all paid jobs held. WORK DESCRIPTION CONTACT NAME/NUMBER Page 6 of 9

7 SECTION 8 - HONORS AND AWARDS List all honors, awards, academic and otherwise. Please continue on additional page if necessary. DESCRIPTION WHEN RECEIVED Page 7 of 9

8 SECTION 9 - LEADERSHIP POSITIONS AND OFFICES HELD List separately each office held. Duplication from previous sections is permitted. ORGANIZATION POSITION Page 8 of 9

9 SECTION 10 - ESSAY QUESTIONS On a separate page, please answer the essay questions. Please be sure that you are answering the essay questions that correspond to the scholarship/s you are applying for. PLEASE TYPE OR WRITE LEGIBILY. If you are applying for the Knights Scholarship, please answer: 1. In 500 words or less, please define a practicing Catholic in today's society. Reflect on one of your service activities: How has this experience helped you grow in the Catholic faith and how do you plan to continue volunteering in the future. 2. In 200 words or less: The first principle of the Knights of Columbus is charity. Describe what charity means to you. If you are applying for the Ladies Auxiliary Scholarship, please answer the following essay questions: 1. In 200 words or less, select one of your service activities and reflect on how this experience helped you to grow in your Catholic faith. 2. St. Francis of Assisi is the patron saint of our parish. In 500 words or less, explain how the teachings/example of St. Francis of Assisi influence how you practice your faith in your community. If you applying for the Women of St. Francis Scholarship, please answer the following essay question: 1. In 200 words or less, select one of your service activities and reflect on how that activity helps you grow in your Catholic faith? Also, how do you think this activity will impact/influence your college experience? Remember to be sure to answer all essay questions for EACH Scholarship for which you are applying. Submit separate copies of your application to each organziation and only include the specific essay for THAT organziation in THAT envelope. Please contact us if you have any questions. Page 9 of 9