The second will be awarded to a St Francis of Assisi Parish member that is a high school senior going to any college or university.

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February 12, 2019 Dear Applicant: The Knights of Columbus Council 12422 are excited about your interest in our scholarship. Our scholarships are to encourage enrollment in Catholic High Schools and to help defray the costs of a college education. The scholarships will be awarded to someone who has shown a balance of good character, service and academics. Council 12422 will award three $1,500.00 scholarships in 2019. Two scholarships will go to two 8 th Grade students who are members of St Francis of Assisi Parish, and will be attending Dowling Catholic High School the fall of 2019. The second will be awarded to a St Francis of Assisi Parish member that is a high school senior going to any college or university. Attached to this cover letter is your application. After completing the application, please mail it to: Mr. Joseph Pollpeter Knights of Columbus 1391 South Sugar Creek Ct West Des Moines, Iowa 50266 The deadline for applications is Friday, April 5, 2019. All completed applications will need to be post-marked or delivered by that date. Announcement of awards will be made by June 10, 2018. If you or your parents have any questions please ask a St Francis Knight, They will be able to get you in touch with a member of the Scholarship Committee to answer your questions. You may also e-mail questions to joe@tworiversglass.com. Thank you for your interest. Sincerely, Joseph R. Pollpeter Council 12422 Scholarship Committee

ST FRANCIS KNIGHTS OF COLUMBUS COUNCIL 12422 2019 SCHOLARSHIP APPLICATION Name: Address: City: State / Zip: Phone Number: E-Mail Address: Mother s Name: Father s Name: Applicants current school: _ Applicants current grade: What school are you attending in the fall of 2019? APPLICANT #:

(2) Please provide your answers on separate pieces of paper for the following questions. Please include your name and the title of the question on each sheet. 1) Service and Activities On a separate piece of paper, please list the projects, activities clubs, service projects, and athletic teams you have participated in the last four years. 2) Impact of Service or Activity On a separate piece of paper, please state the service or activity that had the greatest positive impact on you and why this activity had such an impact on you. 3) Essay On a separate sheet of paper, please prepare an essay of approximately 200 words on the following subject: St Francis of Assisi is credited with the following quote: Preach the Gospel at all times and when necessary use words. As you advance to the next level of your education, how can you follow St Francis s teachings by turning your faith into action? (Please include your name and address on the essay.)

(3) Recommendation Please have an adult, such as a priest, teacher, administrator or leader at your school, church, or organization write a brief statement of recommendation. Signature Date: Position:

(4) After completing the application, please mail it to: Mr. Joseph Pollpeter Knights of Columbus 1391 South Sugar Creek Ct West Des Moines, Iowa 50266 The deadline for applications is Friday, April 5, 2019. All applications will need to be delivered or post-marked by this date. Applications that are not complete or late may not be considered per the discretion of the Scholarship Committee. Applicants Signature: Date: Parent or Guardian Signature: Date: