Knights of Columbus SAINT LEONARD MURIALDO COUNCIL P.O. Box 3472 Quartz Hill, California

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Knights of Columbus SAINT LEONARD MURIALDO COUNCIL 10667 P.O. Box 3472 Quartz Hill, California 93586-0472 SCHOLARSHIP APPLICATION The St. Leonard Murialdo Council Knights of Columbus Scholarship Program recognizes and rewards outstanding student members of the local community. The Scholarship Committee seeks to identify those students, 21 years of age or younger who will attend or are currently attending high school or college, and who in addition to excelling in school have demonstrated good character and leadership through participation in extracurricular and community activities. Winners will be notified by mail, email, or by phone. The grant is payable directly to the applicant and their family to offset costs incurred while attending either private or public high school or college. The scholarship will be granted prior to the end of the current school year. For the 2015-2016 school year, the Council will award two scholarships in the amount of at least $500 each; one for the 13-17 year age group and one for the 18-21 year age group. ELIGIBILITY CRITERIA The Scholarship Committee will consider five specific areas for judging applicants: 1. Practicing Catholic. Specifics are on the attached page. Please respond to each question. Applicants are encouraged to obtain recommendation letters from their parish pastor, priest, or deacon. 2. Knights of Columbus affiliation is considered but not required. Respond to the questions on the attached page if appropriate. 3. School and community involvement is important. This can indicate character strength and leadership. List the areas of involvement on the application. Character reference letters from responsible adults (i.e. school counselor, teacher, coach, employer, etc.) will be considered. Applicants shall use the attached Recommendation Form for this purpose. 4. Demonstrated financial need shall be taken into consideration, reviewable on an individual basis. The application outlines this factor. 5. School Grades and writing communications skills. The applicant will submit a copy of their current school grades and a one to two-page essay addressing the topic identified on the attached application. Essays will be judged on content and quality of presentation. See attached sample scoring sheet used in judging application package. Completed applications must be postmarked by April 30th, 2015 Mail to: Knights of Columbus No.10667 Scholarship Committee P.O. Box 3472 Quartz Hill, CA. 93586-0306 (Retain this page for reference)

Knights of Columbus St. Leonard Murialdo Council SCHOLARSHIP APPLICATION Applicant Name: Age: Address: City: State Zip: Phone: ( ) - School/Grade (Fall 2015): Mother/Guardian: Father/Guardian: Siblings: Ages: Schools they attend: Practicing Catholic: Which Parish is your family registered with? Has the applicant been Baptized? Has the applicant received First Eucharist? Pastor/Priest/Deacon recommendation letter included? Knights of Columbus Affiliation: Is any member of the applicant s family in the Knights of Columbus?: If yes, which council?: Name or relation to applicant: Extracurricular Activities: On a separate attachment, list any school or outside activities the applicant is currently or has been recently involved in (i.e., sports, clubs, scouts, youth organizations, church ministries, Columbian Squires, etc.). Identify leadership positions held as required.

Recommendation Form and narrative included? Financial Assessment: Financial need is a consideration in awarding a scholarship. In the space provided, families desiring this need to be considered have the opportunity to briefly explain why awarding this scholarship to the applicant would assist the financial well-being of the family. Comments provided? Essay: Applicants will attach a one to two-page essay (typed, double spaced, on plain paper with school style heading) to this application, elaborating on the following: Who are the modern equivalents of the first Apostles in the Catholic Church and what is their purpose? CERTIFICATIONS Applicant The information above is true, correct, and complete to the best of my knowledge. Signature: Print name: Date: Parent/Guardian The Knights of Columbus and its agents have my permission to use any and all of the above information, including any attachments submitted with this application, for the purpose of judging my child in the award of a scholarship based on the stated criteria. I have reviewed this completed application and am aware of its contents. Signature: Print name: Date: STUDENT S NAME: LAST FIRST MIDDLE

--------------------------------------------------------------------------------------------------------------------- ST.MURIALDO KNIGHTS OF COLUMBUS SCHOLARSHIP RECOMMENDATION FORM 1. ALL INFORMATION IS CONFIDENTIAL. 2. IN THE SPACE PROVIDED BELOW, INCLUDE COMMENTS/EXAMPLES IN A BRIEF NARRATIVE THAT YOU BELIEVE WILL ASSIST THE JUDGING COMMITTEE IN EVALUATING THE APPLICANT. IF REQUIRED, ATTACH ADDITIONAL PAGES. 3. REFRAIN FROM USING MASCULINE AND FEMININE PRONOUNS AND APPLICANT S NAME. THIS PROTECTS THE ANONYMITY OF THE APPLICANT DURING JUDGING AND REMOVES POSSIBLE BIASING. 4. WHEN YOU HAVE COMPLETED THIS FORM, RETURN IT TO THE APPLICANT IN A SEALED ENVELOPE ALONG WITH ANY ADDITIONAL PAGES ADDED. IT MUST REMAIN SEALED UNTIL RECEIVED BY THE SCHOLARSHIP CHAIR. 5. THANK YOU FOR YOUR TIME AND EFFORT WITH THIS IMPORTANT PROGRAM. EVALUATOR S NAME: EVALUATOR S OCCUPATION: EVALUATOR S SIGNATURE: 1. HOW LONG HAVE YOU KNOWN THE APPLICANT? 2. IN WHAT CAPACITY DO YOU KNOW THE APPLICANT? 3. NARRATIVE

ST. MURIALDO KNIGHTS OF COLUMBUS COUNCIL SCHOLARSHIP SAMPLE SCORING SHEET JUDGE S INITIALS CODE # CATEGORY MAXIMUM SCORE POINTS ACTIVITIES A. HONORS & AWARDS 5 B. SCHOOL ACTIVITIES 5 C. COMMUNITY ACTIVITIES 5 D. LEADERSHIP 5 E. CHARACTER REFERENCE 5 PRACTICING CATHOLIC A. PARISH REGISTRATION 1 B. BAPTIZED 1 C. FIRST EUCHARIST 1 D. PASTOR RECOMMENDATION 5 ESSAY A. CLARITY 5 B. GRAMMAR 5 C. PUNCTUATION 5 D. ADDRESSES ESSAY 20 TOPIC/QUESTION E. TWO-PAGE LIMIT 5 TOTAL: 73